DEPARTMENT OF INSURANCE

Name	Intrust Business Partners,LLC	DOIID	807855	NAIC NPN	16555349

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	6/30/2020	4/1/2022
Inactive	Non Resident	Agent	Life	6/30/2020	4/1/2022

*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	412 E Madison Street Suite 809Tampa, FL 33602

Phone Information

Type	Phone
Business / Home Office	(813) 571-7119