DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Buskirk, Cheryl S	DOIID	568844	NAIC NPN	7680272

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	1/15/2004	10/28/2015
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American National Insurance Company	301861	Agent - Life	2/4/2004	9/6/2007
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	12/12/2005	11/29/2006
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	4/29/2004	9/10/2007
Inactive	Principal Life Insurance Company	300129	Agent - Life	5/1/2006	12/3/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cetera Investment Services LLC	398143	Agent - Life	2/24/2004	11/19/2007