DEPARTMENT OF INSURANCE
Affiliations
NameFuller, Mallory M.DOIID518883NAIC NPN3979572
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth12/6/20001/31/2007 
InactiveNon ResidentAgentLife12/6/20001/31/2007 
InactiveNon ResidentAgentVariable Life and Variable Annuities5/31/20011/31/2007 
* 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
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities4/25/200111/20/2003
InactiveAmerican General Life Insurance Company301585Agent - Health3/11/20051/31/2007
InactiveAmerican General Life Insurance Company301585Agent - Life3/11/20051/31/2007
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities3/11/20051/31/2007
InactiveDelaware Life Insurance Company301256Agent - Life9/19/20062/15/2007
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities9/19/20062/15/2007
InactiveEverlake Life Insurance Company300873Agent - Life5/29/20012/17/2007
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities5/31/20012/17/2007
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health10/3/20031/31/2007
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life10/3/20032/15/2007
InactiveGenworth Life and Annuity Insurance Company301276Agent - Variable Life and Variable Annuities10/3/20032/15/2007
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life12/20/200112/11/2006
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities12/20/200112/20/2006
InactiveLincoln National Life Insurance Company (The)301382Agent - Health3/18/20042/15/2007
InactiveLincoln National Life Insurance Company (The)301382Agent - Life3/18/20042/15/2007
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities3/18/20042/15/2007
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Health10/19/20034/11/2005
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Life10/19/20034/11/2005
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Variable Life and Variable Annuities10/19/20034/11/2005
InactiveMetropolitan Life Insurance Company301948Agent - Health1/4/20071/31/2007
InactiveMetropolitan Life Insurance Company301948Agent - Life1/4/20071/31/2007
InactiveNationwide Life Insurance Company300495Agent - Health3/31/20033/18/2007
InactiveNationwide Life Insurance Company300495Agent - Life3/31/20033/18/2007
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities3/31/20033/18/2007
InactivePacific Life Insurance Company301848Agent - Life11/28/20012/20/2007
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities11/28/20012/20/2007
InactiveTransamerica Advisors Life Insurance Company300539Agent - Health12/6/20001/31/2007
InactiveTransamerica Advisors Life Insurance Company300539Agent - Life12/6/20001/31/2007
InactiveTransamerica Advisors Life Insurance Company300539Agent - Variable Life and Variable Annuities5/31/20011/31/2007
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMerrill Lynch Life Agency Inc.400527Agent - Life11/7/20031/31/2007
InactiveMerrill Lynch Life Agency Inc.400527Agent - Health11/7/20031/31/2007
InactiveMerrill Lynch Life Agency Inc.400527Agent - Variable Life and Variable Annuities11/7/20031/31/2007

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