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DEPARTMENT OF INSURANCE
Affiliations
Name
Amplify Life Insurance Services
DOIID
1122260
NAIC NPN
19516488
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Health
7/19/2021
3/31/2027
Active
Non Resident
Agent
Life
7/19/2021
3/31/2027
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
License Renewal Information
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
01/15/2027
03/31/2027
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Health
8/4/2021
12/31/2024
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Life
8/4/2021
12/31/2024
Active
EMC National Life Company
300388
Agent - Life
12/5/2024
Active
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
5/1/2025
Active
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
11/12/2025
Active
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
11/12/2025
Active
Life Insurance Company of the Southwest
301867
Agent - Health
8/16/2021
Active
Life Insurance Company of the Southwest
301867
Agent - Life
8/16/2021
Inactive
North American Company for Life and Health Insurance
300291
Agent - Life
10/13/2021
2/8/2022
Active
S.USA Life Insurance Company, Inc.
301774
Agent - Life
2/5/2026
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Baldizon, Nicole Cherie
1247643
Agent - Life
6/5/2026
Active
Branch, Vonetta Wimby
1351615
Agent - Health
6/5/2026
Active
Branch, Vonetta Wimby
1351615
Agent - Life
6/5/2026
Active
Dawson, Knowlan Jay
1090397
Agent - Health
6/5/2026
Active
Dawson, Knowlan Jay
1090397
Agent - Life
6/5/2026
Active
Dixson, David Warren
1331977
Agent - Life
6/5/2026
Active
Fahd, Nikki
1236599
Agent - Health
6/5/2026
Active
Fahd, Nikki
1236599
Agent - Life
6/5/2026
Active
Kennedy, Randolph
583756
Agent - Life
6/5/2026
Active
Leigh, Gina Marie
1312548
Agent - Life
6/5/2026
Active
Long, Shamir R
874527
Agent - Life
6/5/2026
Pending
Mulvey, David
991678
Agent - Health
Active
Mulvey, David
991678
Agent - Life
6/5/2026
Active
Ramsdell, Collin Michael
1165962
Agent - Life
6/5/2026
Active
Rauzi, Sheryl
972995
Agent - Life
6/5/2026
Active
Ruvolo, Jason Vincent
1211595
Agent - Life
6/5/2026
Active
Tercero, Bonnie Lena
1109499
Agent - Health
6/5/2026
Active
Tercero, Bonnie Lena
1109499
Agent - Life
6/5/2026
Active
Traylor, Amanda
1245719
Agent - Life
6/5/2026
Active
Trexler, Jennifer Melissa
975348
Agent - Health
6/5/2026
Active
Trexler, Jennifer Melissa
975348
Agent - Life
6/5/2026
Active
Uhiren, Zachary
1230832
Agent - Life
6/5/2026
Active
Vegvary, Korinne
992096
Agent - Health
7/21/2021
Active
Vegvary, Korinne
992096
Agent - Life
7/21/2021
Active
Wilson, Keven Alonzo
1404394
Agent - Life
6/1/2026
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