DEPARTMENT OF INSURANCE

Name	Lapetina, David	DOIID	939943	NAIC NPN	18231309

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	7/23/2021		7/31/2026
Inactive	Non Resident	Agent	Life	12/16/2016	7/31/2020

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

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2024	07/31/2024	07/01/2024	07/01/2024	Yes

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
Residence	Not Public Information
Business / Home Office	221 S High Point Rd Apt 204 Madison, WI 537172086

Phone Information

Type	Phone
Business / Home Office	(855) 448-3386