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DEPARTMENT OF INSURANCE
Affiliations
Name
America Direct Ins Agency Inc
DOIID
619155
NAIC NPN
8607114
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
5/3/2006
3/31/2010
Inactive
Non Resident
Agent
Health
5/3/2006
3/31/2010
* 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
Athene Annuity & Life Assurance Company
301798
Agent - Life
1/11/2008
3/31/2010
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Health
5/15/2006
3/31/2010
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Life
5/15/2006
3/31/2010
Inactive
Genworth Life Insurance Company
300623
Agent - Health
8/17/2006
3/31/2010
Inactive
Genworth Life Insurance Company
300623
Agent - Life
8/17/2006
3/31/2010
Inactive
Pruco Life Insurance Company
300954
Agent - Health
11/1/2006
3/31/2010
Inactive
Pruco Life Insurance Company
300954
Agent - Life
11/1/2006
3/31/2010
Inactive
Revol One Insurance Company
300681
Agent - Health
3/3/2008
11/23/2009
Inactive
Revol One Insurance Company
300681
Agent - Life
3/3/2008
11/23/2009
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
10/1/2008
3/31/2010
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
10/6/2006
10/1/2008
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Life
5/8/2006
10/22/2007
Inactive
West Coast Life Insurance Company
301607
Agent - Health
10/19/2007
3/31/2010
Inactive
West Coast Life Insurance Company
301607
Agent - Life
8/23/2006
3/31/2010
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Denied
Adhami, Amy
584831
Agent - Health
Inactive
Adhami, Amy
584831
Agent - Life
1/23/2007
8/2/2007
Inactive
Andrejko, Roxane Marie
676689
Agent - Health
3/28/2008
6/12/2009
Inactive
Andrejko, Roxane Marie
676689
Agent - Life
3/28/2008
6/12/2009
Inactive
Aquino, Michael Angelo
594048
Agent - Health
1/23/2007
3/31/2010
Inactive
Aquino, Michael Angelo
594048
Agent - Life
1/23/2007
3/31/2010
Denied
Capone, John
620813
Agent - Health
Inactive
Capone, John
620813
Agent - Life
1/23/2007
3/31/2010
Inactive
Cardwell, Nathan Lee
546551
Agent - Health
7/19/2007
3/31/2010
Inactive
Cardwell, Nathan Lee
546551
Agent - Life
7/19/2007
3/31/2010
Denied
Crosoli, Rodney A
345326
Agent - Health
Inactive
Crosoli, Rodney A
345326
Agent - Life
1/23/2007
3/31/2010
Denied
Curley, Brian M
517777
Agent - Health
Inactive
Curley, Brian M
517777
Agent - Life
1/23/2007
3/1/2007
Denied
Davis, Phillip
710372
Agent - Health
Inactive
Davis, Phillip
710372
Agent - Life
8/6/2009
3/31/2010
Inactive
DePhillips, Steven Daniel
624847
Agent - Health
6/28/2007
6/12/2009
Inactive
DePhillips, Steven Daniel
624847
Agent - Life
6/28/2007
6/12/2009
Denied
Degolian, Cundell B
592232
Agent - Health
Inactive
Degolian, Cundell B
592232
Agent - Life
1/23/2007
5/12/2009
Denied
Digiannantonio, Rocco
696946
Agent - Health
Inactive
Digiannantonio, Rocco
696946
Agent - Life
3/16/2009
3/31/2010
Denied
Doran, Christopher S
594384
Agent - Health
Inactive
Doran, Christopher S
594384
Agent - Life
1/23/2007
3/31/2010
Denied
Franklin, Joyce Ellen
548098
Agent - Health
Inactive
Franklin, Joyce Ellen
548098
Agent - Life
1/23/2007
1/11/2008
Denied
Frye, Lane B
584660
Agent - Health
Inactive
Frye, Lane B
584660
Agent - Life
1/23/2007
3/31/2010
Inactive
Gallo, Joseph Michael
317902
Agent - Health
1/23/2007
11/26/2007
Inactive
Gallo, Joseph Michael
317902
Agent - Life
1/23/2007
11/21/2007
Inactive
Gardella, Thomas C
708005
Agent - Health
6/29/2009
3/31/2010
Inactive
Gardella, Thomas C
708005
Agent - Life
6/29/2009
3/31/2010
Inactive
Goodyear, Michael Clark
380106
Agent - Health
5/3/2006
3/31/2010
Inactive
Goodyear, Michael Clark
380106
Agent - Life
5/3/2006
3/31/2010
Denied
Hansen, Barbara
631358
Agent - Health
Inactive
Hansen, Barbara
631358
Agent - Life
1/23/2007
3/1/2007
Inactive
Heleniak, Phyllis Ann
318662
Agent - Health
1/23/2007
3/31/2010
Inactive
Heleniak, Phyllis Ann
318662
Agent - Life
1/23/2007
3/31/2010
Denied
Hilligoss, Inga
608460
Agent - Health
Inactive
Hilligoss, Inga
608460
Agent - Life
1/23/2007
4/19/2007
Denied
Ingram, Ginger Marie
566744
Agent - Health
Inactive
Ingram, Ginger Marie
566744
Agent - Life
1/23/2007
7/8/2009
Denied
Ionescu, Gabriel
510018
Agent - Health
Inactive
Ionescu, Gabriel
510018
Agent - Life
1/23/2007
9/16/2009
Inactive
Jimenez, Roman
332930
Agent - Health
1/23/2007
3/31/2010
Inactive
Jimenez, Roman
332930
Agent - Life
1/23/2007
3/31/2010
Inactive
Johnson, Nancy Anne
378314
Agent - Health
1/23/2007
7/8/2009
Inactive
Johnson, Nancy Anne
378314
Agent - Life
1/23/2007
7/8/2009
Denied
Jost, Dennis C
641710
Agent - Health
Inactive
Jost, Dennis C
641710
Agent - Life
1/23/2007
7/13/2007
Denied
Lambesis, Diane E
624183
Agent - Health
Inactive
Lambesis, Diane E
624183
Agent - Life
1/23/2007
5/12/2009
Denied
Lemere, Jason Philip
503201
Agent - Health
Inactive
Lemere, Jason Philip
503201
Agent - Life
1/23/2007
3/31/2010
Inactive
Litwin, Charlene Esther
680108
Agent - Health
5/20/2008
8/4/2008
Inactive
Litwin, Charlene Esther
680108
Agent - Life
5/20/2008
8/4/2008
Inactive
Loza, Roberto
343951
Agent - Health
1/23/2007
8/24/2009
Inactive
Loza, Roberto
343951
Agent - Life
1/23/2007
8/24/2009
Denied
Marlow, Cory E
638215
Agent - Health
Inactive
Marlow, Cory E
638215
Agent - Life
1/23/2007
1/11/2008
Inactive
Matlak, Kevin Michael
565034
Agent - Health
1/23/2007
3/31/2010
Inactive
Matlak, Kevin Michael
565034
Agent - Life
1/23/2007
3/31/2010
Denied
Mayeda, Kathy
636810
Agent - Health
Inactive
Mayeda, Kathy
636810
Agent - Life
1/23/2007
3/2/2007
Inactive
Nielsen, Jonathan C
620115
Agent - Health
1/23/2007
11/13/2008
Inactive
Nielsen, Jonathan C
620115
Agent - Life
1/23/2007
11/13/2008
Denied
Nocerino, Diane J
315786
Agent - Health
Inactive
Nocerino, Diane J
315786
Agent - Life
2/1/2007
6/12/2009
Denied
Obrien, Terrie G
545747
Agent - Health
Inactive
Obrien, Terrie G
545747
Agent - Life
1/23/2007
6/12/2009
Inactive
Price, Daniel Joseph
696340
Agent - Health
1/14/2009
3/31/2010
Inactive
Price, Daniel Joseph
696340
Agent - Life
12/31/2008
3/31/2010
Inactive
Rieger, Kevin G
708030
Agent - Health
6/29/2009
3/31/2010
Inactive
Rieger, Kevin G
708030
Agent - Life
6/29/2009
3/31/2010
Inactive
Rosenston, Neil A
585896
Agent - Life
1/23/2007
5/29/2008
Denied
Schlenkert, Cheryl Anne
567193
Agent - Health
Inactive
Schlenkert, Cheryl Anne
567193
Agent - Life
1/23/2007
3/31/2010
Denied
Shah, Neha D
510782
Agent - Health
Inactive
Shah, Neha D
510782
Agent - Life
1/23/2007
9/30/2009
Denied
Shirley, Michael Scott
516158
Agent - Health
Inactive
Shirley, Michael Scott
516158
Agent - Life
1/23/2007
5/12/2009
Inactive
Smid, Tracy Ann
506971
Agent - Health
1/23/2007
3/31/2010
Inactive
Smid, Tracy Ann
506971
Agent - Life
1/23/2007
3/31/2010
Inactive
Stobbe, Christopher D
348881
Agent - Health
11/26/2007
3/31/2010
Inactive
Stobbe, Christopher D
348881
Agent - Life
10/10/2007
3/31/2010
Inactive
Usatuck, Beverly Ann
359880
Agent - Health
1/23/2007
4/19/2007
Inactive
Usatuck, Beverly Ann
359880
Agent - Life
1/23/2007
4/19/2007
Denied
Wiggins, Andrew W
584985
Agent - Health
Inactive
Wiggins, Andrew W
584985
Agent - Life
1/23/2007
3/31/2010
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