DEPARTMENT OF INSURANCE
Affiliations
NameClark, Nicole RDOIID1000145NAIC NPN1358837
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentVariable Life and Variable Annuities7/5/20188/6/2018 
InactiveNon ResidentAgentLife7/5/20188/6/2018 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedAmerican General Life Insurance Company301585Agent - Life  
DeniedAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities  
DeniedBanner Life Insurance Company301696Agent - Life  
DeniedBrighthouse Life Insurance Company301829Agent - Life  
DeniedBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities  
DeniedForethought Life Insurance Company301407Agent - Life  
DeniedForethought Life Insurance Company301407Agent - Variable Life and Variable Annuities  
DeniedJackson National Life Insurance Company300486Agent - Life  
DeniedJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities  
DeniedPrincipal Life Insurance Company300129Agent - Life  
DeniedPrincipal Life Insurance Company300129Agent - Variable Life and Variable Annuities  
DeniedPrincipal National Life Insurance Company301926Agent - Life  
DeniedPrincipal National Life Insurance Company301926Agent - Variable Life and Variable Annuities  
DeniedProtective Life Insurance Company300638Agent - Life  
DeniedProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities  
DeniedPruco Life Insurance Company300954Agent - Life  
DeniedPruco Life Insurance Company300954Agent - Variable Life and Variable Annuities  
DeniedTransamerica Life Insurance Company300571Agent - Life  
DeniedTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities  
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedMorgan Stanley Insurance Services Inc644934Agent - Life  
DeniedMorgan Stanley Insurance Services Inc644934Agent - Variable Life and Variable Annuities  

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