DEPARTMENT OF INSURANCE
Affiliations
NameClark II, Gary DeanDOIID665452NAIC NPN3952235
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentVariable Life and Variable Annuities10/4/20077/31/2012 
InactiveNon ResidentAgentHealth10/4/20077/31/2012 
InactiveNon ResidentAgentLife10/4/20077/31/2012 
* 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
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life3/18/20117/31/2012
InactivePacific Life Insurance Company301848Agent - Life11/8/20079/18/2012
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities11/8/20079/18/2012
InactiveTransamerica Life Insurance Company300571Agent - Life6/9/200911/5/2010
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities6/9/200911/5/2010
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactivePNC Insurance Services LLC400874Agent - Life4/28/20107/6/2012
DeniedPNC Insurance Services LLC400874Agent - Health  
InactivePNC Insurance Services LLC400874Agent - Variable Life and Variable Annuities4/28/20107/6/2012

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