DEPARTMENT OF INSURANCE

Name	Smith, Patricia	DOIID	791833	NAIC NPN	15894246

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Agent	Health	11/15/2022		11/30/2025
Inactive	Non Resident	Agent	Life	9/19/2012	11/30/2015

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	2772 E 75th St Unit 4mn Chicago, IL 606498730
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(877) 256-1640