DEPARTMENT OF INSURANCE
Affiliations
NameVan Buskirk, Michael JasonDOIID1247140NAIC NPN9934377
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth12/15/20225/31/2024 
InactiveNon ResidentAgentLife12/15/20225/31/2024 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican General Life Insurance Company301585Agent - Health2/18/20245/31/2024
InactiveAmerican General Life Insurance Company301585Agent - Life2/18/20245/31/2024
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health1/12/20235/31/2024
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life1/12/20235/31/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveWorld Financial Group Insurance Agency, LLC400520Agent - Life1/13/20232/14/2024
InactiveWorld Financial Group Insurance Agency, LLC400520Agent - Health1/13/20232/14/2024

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