PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameGustafson Jr, Theodore BertDOIID580363NAIC NPN7928284
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth8/5/20057/31/2007 
InactiveResidentAgentLife6/24/20057/31/2007 
InactiveResidentAgentProperty9/9/20057/31/2007 
InactiveResidentAgentCasualty9/16/20057/31/2007 
* 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
InactiveAllianz Life Insurance Company of North America301791Agent - Health9/13/20057/31/2007
InactiveAllianz Life Insurance Company of North America301791Agent - Life9/13/20057/31/2007
InactiveAmerican General Life Insurance Company301585Agent - Health10/12/20057/31/2007
InactiveAmerican General Life Insurance Company301585Agent - Life10/12/20057/31/2007
InactiveChase Insurance Life and Annuity Company300518Agent - Life10/3/20054/1/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life7/13/20055/12/2006
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life7/13/20055/12/2006
InactiveNorth American Company for Life and Health Insurance300291Agent - Health12/28/20057/31/2007
InactiveNorth American Company for Life and Health Insurance300291Agent - Life12/28/20057/31/2007
InactiveProtective Life Insurance Company300638Agent - Life4/1/20077/31/2007
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveStoneBridge Insurance Services, Inc398862Agent - Health11/4/20052/6/2007
InactiveStoneBridge Insurance Services, Inc398862Agent - Life11/4/20052/6/2007
DeniedWorth Insurance Group INC398245Agent - Casualty  
DeniedWorth Insurance Group INC398245Agent - Property  
InactiveWorth Insurance Group INC398245Agent - Health12/27/20058/11/2006
InactiveWorth Insurance Group INC398245Agent - Life12/27/20058/11/2006

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