DEPARTMENT OF INSURANCE

Name	Incentisure Inc	DOIID	906017	NAIC NPN	16421492

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	2/5/2016	4/17/2017
Inactive	Non Resident	Agent	Life	2/5/2016	4/17/2017

*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	Incentisure Inc 7129 Laurel Cherry DrRockford, IL 61108

Internet Information

Type	Address
Business Email	jim@incentisure.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(815) 312-5760