DEPARTMENT OF INSURANCE
Licensee Search Details
NameBautista, Rosa IselaDOIID975454NAIC NPN18577657
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
ActiveNon ResidentAgentHealth11/3/2017 2/28/2027 
*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 Office11205 W Rhode Island Ave Youngtown, AZ 853631116
ResidenceNot Public Information
Internet Information
TypeAddress
Business EmailPHOENIXLICENSING@HUMANA.COM
Phone Information
TypePhone
Business / Home Office(877) 256-1640

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