DEPARTMENT OF INSURANCE

Affiliations

Name	Diaz Medina, Jose	DOIID	1320002	NAIC NPN	21022332

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/19/2024		8/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	eHealthInsurance Services Inc.	514105	Agent - Health