DEPARTMENT OF INSURANCE

Affiliations

Name	Wiese, Shayla Ann	DOIID	1460692	NAIC NPN	7264869

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Withdrawn	Non Resident	Administrator	Not Applicable	5/4/2026
Active	Non Resident	Life & Health Consultant	Not Applicable	5/4/2026	6/30/2027
* 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
Active	Gallagher Benefit Services Inc	525782	Life & Health Consultant - Not Applicable	5/4/2026