DEPARTMENT OF INSURANCE

Name	Audomo Insurance Services Llc	DOIID	1140089	NAIC NPN	19885813

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	6/16/2021	7/8/2025
Inactive	Non Resident	Agent	Life	6/16/2021	7/8/2025

*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	300 Corporate Pkwy Amherst, NY 142261207

Internet Information

Type	Address
Business Email	cmruiz@aetna.com

Phone Information

Type	Phone
Business / Home Office	(646) 480-0808