DEPARTMENT OF INSURANCE
Affiliations
NameBurgdorf, Mark A.DOIID515832NAIC NPN940307
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife11/16/2000 10/31/2024
ActiveNon ResidentAgentHealth11/16/2000 10/31/2024
ActiveNon ResidentAgentVariable Life and Variable Annuities5/31/2001 10/31/2024
* 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.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent08/15/202410/31/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAllianz Life Insurance Company of North America301791Agent - Life11/4/2020 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities11/11/2020 
InactiveC.M. Life Insurance Company301335Agent - Health4/6/20095/16/2018
InactiveC.M. Life Insurance Company301335Agent - Life4/6/20095/16/2018
InactiveC.M. Life Insurance Company301335Agent - Variable Life and Variable Annuities4/6/20095/16/2018
InactiveJackson National Life Insurance Company300486Agent - Life1/29/20018/2/2021
ActiveLincoln National Life Insurance Company (The)301382Agent - Health5/6/2015 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life5/6/2015 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities5/6/2015 
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health4/6/20095/16/2018
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life4/6/20095/16/2018
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Variable Life and Variable Annuities4/6/20095/16/2018
InactiveNationwide Life Insurance Company300495Agent - Health11/16/200012/10/2012
InactiveNationwide Life Insurance Company300495Agent - Life11/16/200012/10/2012
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities5/31/200112/10/2012
InactivePruco Life Insurance Company300954Agent - Life8/1/201212/24/2018
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveCetera Advisors LLC401137Agent - Life9/28/2022 
ActiveCetera Advisors LLC401137Agent - Health9/28/2022 
ActiveCetera Advisors LLC401137Agent - Variable Life and Variable Annuities9/28/2022 
InactiveFFP Securities Inc.398147Agent - Life2/3/200512/8/2008
InactiveFFP Securities Inc.398147Agent - Health2/3/200512/8/2008
InactiveFFP Securities Inc.398147Agent - Variable Life and Variable Annuities2/3/200512/8/2008
InactiveFirst Allied Securities, Inc.522716Agent - Life5/30/20087/10/2023
InactiveFirst Allied Securities, Inc.522716Agent - Health5/30/20087/10/2023
InactiveFirst Allied Securities, Inc.522716Agent - Variable Life and Variable Annuities5/30/20087/10/2023

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