DEPARTMENT OF INSURANCE

Affiliations

Name	Gould, Evan A	DOIID	1116210	NAIC NPN	18485491

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	1/9/2024	10/31/2026
Active	Non Resident	Agent	Life	1/9/2024	10/31/2026
* 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
Denied	Ubs Financial Services Ins Agency Inc	399373	Agent - Life
Denied	Ubs Financial Services Ins Agency Inc	399373	Agent - Health