DEPARTMENT OF INSURANCE
Affiliations
NameKeithley, Robert WilliamDOIID340812NAIC NPN7187398
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife10/7/19681/16/2002 
InactiveResidentAgentHealth10/7/19681/16/2002 
* 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
InactiveChase Insurance Life and Annuity Company300518Agent - Health5/22/19953/31/1997
InactiveChase Insurance Life and Annuity Company300518Agent - Life5/22/19953/31/1997
InactiveNorthwestern Mutual Life Insurance Company300931Agent - Health10/7/19682/21/2001
InactiveNorthwestern Mutual Life Insurance Company300931Agent - Life10/7/19682/21/2001
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAssociated Benefits Ltd.398481Agent - Life3/11/19861/16/2002
InactiveAssociated Benefits Ltd.398481Agent - Health3/11/19861/16/2002

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