DEPARTMENT OF INSURANCE
Affiliations
NameAmerican Diversified Financial Group LLCDOIID513263NAIC NPN3420500
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth11/6/200010/1/2008 
InactiveNon ResidentAgentVariable Life and Variable Annuities12/4/200112/2/2013 
InactiveNon ResidentAgentLife11/6/200012/2/2013 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveEquitable Financial Life Insurance Company300808Agent - Life4/17/200712/2/2013
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities4/17/200712/2/2013
InactiveFirst Colony Life Insurance Company301179Agent - Life9/6/20051/1/2007
InactiveFortitude Life Insurance & Annuity Company301503Agent - Health11/6/200010/1/2008
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life11/6/200012/2/2013
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities12/4/200112/2/2013
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/200710/4/2012
InactiveJackson National Life Insurance Company300486Agent - Life2/26/200312/2/2013
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities2/26/200312/2/2013
InactiveLincoln Benefit Life Company301110Agent - Health5/24/200410/1/2008
InactiveLincoln Benefit Life Company301110Agent - Life5/24/200412/2/2013
InactiveLincoln Benefit Life Company301110Agent - Variable Life and Variable Annuities5/24/200412/2/2013
InactiveMetLife Investors Insurance Company301872Agent - Life12/17/20011/3/2012
InactiveMetLife Investors USA Insurance Company300845Agent - Life12/17/20011/3/2012
InactiveNationwide Life Insurance Company300495Agent - Health3/30/200110/1/2008
InactiveNationwide Life Insurance Company300495Agent - Life3/30/200112/2/2013
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities8/25/201112/2/2013
InactiveProtective Life Insurance Company300638Agent - Health10/23/200610/1/2008
InactiveProtective Life Insurance Company300638Agent - Life10/23/200612/2/2013
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities10/23/200612/2/2013
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveClark, Tommy D 339046Agent - Life11/10/20089/3/2013
InactiveClark, Tommy D 339046Agent - Variable Life and Variable Annuities11/10/20089/3/2013
InactiveDaily, John Philip 339027Agent - Health12/31/20039/1/2008
InactiveDaily, John Philip 339027Agent - Life12/31/20039/1/2008
InactiveDaily, John Philip 339027Agent - Variable Life and Variable Annuities12/31/20039/1/2008
InactiveMalicoat, Harold D 314898Agent - Health11/6/200012/31/2003
InactiveMalicoat, Harold D 314898Agent - Life11/6/200012/31/2003
InactiveMcCracken, Bradley J 368944Agent - Life10/3/200811/3/2008
InactiveMcCracken, Bradley J 368944Agent - Variable Life and Variable Annuities10/3/200811/3/2008
InactiveOeth, Linda J 382495Agent - Variable Life and Variable Annuities12/4/200112/31/2003

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