DEPARTMENT OF INSURANCE

Name	Mullis, Misty Ann	DOIID	973656	NAIC NPN	18433825

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	10/19/2017	9/30/2023
Inactive	Non Resident	Agent	Life	10/19/2017	9/30/2023

*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

Type	Address
Business / Home Office	On Meds Too, Inc. Dba: Termprovider 348 Miracle Strip Pkwy Sw Ste 3aFort Walton Beach, FL 325485253
Residence	Not Public Information

Internet Information

Type	Address
Business Email	CAROLYN@TERMPROVIDER.COM

Phone Information

Type	Phone
Business / Home Office	(850) 244-9458