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DEPARTMENT OF INSURANCE
Affiliations
Name
Mizushima, Chisa
DOIID
668885
NAIC NPN
8462904
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
11/21/2007
6/30/2010
Inactive
Non Resident
Agent
Health
11/21/2007
6/30/2010
* 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
Anthem Life Insurance Company
301209
Agent - Health
2/11/2008
6/30/2010
Inactive
Anthem Life Insurance Company
301209
Agent - Life
2/11/2008
6/30/2010
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
6/13/2008
6/30/2010
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
6/13/2008
6/30/2010
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Medlink Inc
400721
Agent - Life
2/11/2008
6/30/2010
Inactive
Medlink Inc
400721
Agent - Health
2/11/2008
6/30/2010
Inactive
Sumitomo Life Insurance Agency America, Inc.
612167
Agent - Life
2/29/2008
4/30/2010
Inactive
Sumitomo Life Insurance Agency America, Inc.
612167
Agent - Health
2/29/2008
4/30/2010
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