DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Miller, Daniel Jay	DOIID	1121672	NAIC NPN	16177060

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/22/2021	10/31/2023
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	11/11/2021	10/31/2023
Inactive	Banner Life Insurance Company	301696	Agent - Life	3/16/2021	10/31/2023
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	2/23/2021	12/21/2022
Inactive	Pruco Life Insurance Company	300954	Agent - Life	2/23/2021	12/21/2022
Inactive	Prudential Insurance Company of America	300784	Agent - Life	2/23/2021	12/21/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Prudential Insurance Agency LLC	620187	Agent - Life	11/5/2021	1/10/2023