DEPARTMENT OF INSURANCE
Licensee Search Details
NameMathis, Michael ShaneDOIID796761NAIC NPN15840058
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
ActiveNon ResidentAgentLife11/5/2012 10/31/2025 
ActiveNon ResidentAgentHealth11/5/2012 10/31/2025 
*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
TypeAddress
Business / Home OfficeOn Meds Too, Llc Dba: Termprovider 348 Miracle Strip Pkwy Sw Ste 3aFort Walton Beach, FL 325485253
ResidenceNot Public Information
Phone Information
TypePhone
Business / Home Office(850) 244-9458

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