DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Park, Pornpimol Vimuktayon	DOIID	1339936	NAIC NPN	17406464

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/12/2024		8/31/2026
Active	Non Resident	Agent	Life	5/12/2024		8/31/2026
* 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	06/15/2026	08/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American General Life Insurance Company	301585	Agent - Health	2/5/2025
Active	American General Life Insurance Company	301585	Agent - Life	2/5/2025
Active	Pacific Life Insurance Company	301848	Agent - Health	5/15/2024
Active	Pacific Life Insurance Company	301848	Agent - Life	5/15/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	World Financial Group Insurance Agency, LLC	400520	Agent - Life	5/16/2024
Active	World Financial Group Insurance Agency, LLC	400520	Agent - Health	5/16/2024