DEPARTMENT OF INSURANCE
Affiliations
NameLion Street Insurance Services, LLCDOIID701231NAIC NPN8916163
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth4/3/2009 3/31/2025
ActiveNon ResidentAgentLife4/3/2009 3/31/2025
ActiveNon ResidentAgentVariable Life and Variable Annuities10/2/2014 3/31/2025
* 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.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAllianz Life Insurance Company of North America301791Agent - Health10/6/2014 
ActiveAllianz Life Insurance Company of North America301791Agent - Life10/6/2014 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities10/6/2014 
InactiveAmerican General Life Insurance Company301585Agent - Health11/7/201011/9/2012
InactiveAmerican General Life Insurance Company301585Agent - Life11/7/201011/9/2012
InactiveAmerican National Insurance Company301861Agent - Health8/12/20175/10/2021
ActiveAmerican National Insurance Company301861Agent - Life8/12/2017 
ActiveBrighthouse Life Insurance Company301829Agent - Health7/15/2015 
ActiveBrighthouse Life Insurance Company301829Agent - Life7/15/2015 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities7/15/2015 
ActiveEquitable Financial Life Insurance Company300808Agent - Health6/8/2011 
ActiveEquitable Financial Life Insurance Company300808Agent - Life6/8/2011 
ActiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities11/14/2014 
ActiveEquitable Financial Life Insurance Company of America301772Agent - Health3/6/2017 
ActiveEquitable Financial Life Insurance Company of America301772Agent - Life3/6/2017 
ActiveEquitable Financial Life Insurance Company of America301772Agent - Variable Life and Variable Annuities3/6/2017 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health12/13/2013 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life12/13/2013 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities7/20/2022 
ActiveLife Insurance Company of the Southwest301867Agent - Health5/29/2019 
ActiveLife Insurance Company of the Southwest301867Agent - Life5/29/2019 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health4/5/2011 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life4/5/2011 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities1/13/2015 
ActiveMetropolitan Life Insurance Company301948Agent - Health7/15/2015 
ActiveMetropolitan Life Insurance Company301948Agent - Life7/15/2015 
ActiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities7/15/2015 
InactiveMidland National Life Insurance Company300923Agent - Life2/13/20194/7/2022
ActiveNational Life Insurance Company301852Agent - Health5/29/2019 
ActiveNational Life Insurance Company301852Agent - Life5/29/2019 
ActiveNationwide Life Insurance Company300495Agent - Health7/8/2015 
ActiveNationwide Life Insurance Company300495Agent - Life7/8/2015 
ActiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities7/8/2015 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Health2/25/2015 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life2/25/2015 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities7/8/2015 
ActiveNorth American Company for Life and Health Insurance300291Agent - Life2/26/2021 
ActivePacific Life Insurance Company301848Agent - Health10/2/2014 
ActivePacific Life Insurance Company301848Agent - Life11/16/2015 
ActivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities11/16/2015 
ActivePrincipal Life Insurance Company300129Agent - Health4/5/2016 
ActivePrincipal Life Insurance Company300129Agent - Life4/5/2016 
ActivePrincipal National Life Insurance Company301926Agent - Life1/29/2015 
ActivePruco Life Insurance Company300954Agent - Life10/17/2014 
ActivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities10/17/2014 
ActiveState Life Insurance Company301497Agent - Health1/10/2016 
ActiveState Life Insurance Company301497Agent - Life1/10/2016 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBurmeister, John Fredrick 881958Agent - Health10/30/2015 
ActiveBurmeister, John Fredrick 881958Agent - Life10/30/2015 
ActiveBurmeister, John Fredrick 881958Agent - Variable Life and Variable Annuities10/30/2015 
ActiveCarter, Robert Randolph 364821Agent - Health8/31/2011 
ActiveCarter, Robert Randolph 364821Agent - Life8/31/2011 
ActiveCarter, Robert Randolph 364821Agent - Variable Life and Variable Annuities10/2/2014 
InactiveDelp, Cleves R 697031Agent - Health4/3/20098/31/2011
InactiveDelp, Cleves R 697031Agent - Life4/3/20098/31/2011
ActiveJanecek, David Matthew 684636Agent - Health4/11/2019 
ActiveJanecek, David Matthew 684636Agent - Life4/11/2019 
DeniedJanecek, David Matthew 684636Agent - Variable Life and Variable Annuities  

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