DEPARTMENT OF INSURANCE

Name	Integra Benefits Inc	DOIID	800712	NAIC NPN	8408506

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Health	7/5/2022	12/2/2024
Inactive	Non Resident	Agent	Life	7/5/2022	12/2/2024

*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.

Address Information

Type	Address
Business / Home Office	7632 Manchester Manor Hanover Park, IL 60133

Internet Information

Type	Address
Business Email	dan.entrust@gmail.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(847) 380-0121