DEPARTMENT OF INSURANCE
Affiliations
NameD A Davidson And Co Inc Great FallsDOIID709080NAIC NPN659737
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentVariable Life and Variable Annuities7/9/2009 3/31/2025
ActiveNon ResidentAgentLife7/9/2009 3/31/2025
ActiveNon ResidentAgentHealth7/9/2009 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 - Health6/27/2011 
ActiveAllianz Life Insurance Company of North America301791Agent - Life6/27/2011 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities6/27/2011 
ActiveAmerican General Life Insurance Company301585Agent - Life10/26/2022 
ActiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities10/26/2022 
ActiveBrighthouse Life Insurance Company301829Agent - Health11/14/2014 
ActiveBrighthouse Life Insurance Company301829Agent - Life11/14/2014 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities11/14/2014 
ActiveCMFG Life Insurance Company300929Agent - Health1/26/2023 
ActiveCMFG Life Insurance Company300929Agent - Life1/26/2023 
ActiveCMFG Life Insurance Company300929Agent - Variable Life and Variable Annuities1/26/2023 
ActiveEagle Life Insurance Company701261Agent - Life10/5/2021 
ActiveForethought Life Insurance Company301407Agent - Health3/13/2013 
ActiveForethought Life Insurance Company301407Agent - Life3/13/2013 
ActiveForethought Life Insurance Company301407Agent - Variable Life and Variable Annuities3/13/2013 
ActiveIntegrity Life Insurance Company301687Agent - Life10/20/2023 
ActiveIntegrity Life Insurance Company301687Agent - Variable Life and Variable Annuities10/20/2023 
ActiveJackson National Life Insurance Company300486Agent - Life10/13/2017 
ActiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities10/25/2017 
InactiveMetLife Investors Insurance Company301872Agent - Health4/19/201011/14/2014
InactiveMetLife Investors Insurance Company301872Agent - Life4/19/201011/14/2014
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities4/19/201011/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Health4/19/201011/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life4/19/201011/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities4/19/201011/14/2014
ActiveMetropolitan Life Insurance Company301948Agent - Health4/19/2010 
ActiveMetropolitan Life Insurance Company301948Agent - Life4/19/2010 
ActiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities4/19/2010 
ActiveMidland National Life Insurance Company300923Agent - Life6/26/2020 
ActiveMidland National Life Insurance Company300923Agent - Variable Life and Variable Annuities6/26/2020 
ActiveNationwide Life Insurance Company300495Agent - Health7/15/2024 
ActiveNationwide Life Insurance Company300495Agent - Life7/15/2024 
ActiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities7/15/2024 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Health7/15/2024 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life7/15/2024 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities7/15/2024 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Life10/10/2016 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities9/4/2019 
ActivePacific Life Insurance Company301848Agent - Health6/9/2016 
ActivePacific Life Insurance Company301848Agent - Life6/9/2016 
ActivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities6/9/2016 
ActiveTransamerica Life Insurance Company300571Agent - Health3/2/2012 
ActiveTransamerica Life Insurance Company300571Agent - Life3/2/2012 
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities10/31/2017 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBebee, John Kenneth 708776Agent - Health7/9/200910/13/2017
InactiveBebee, John Kenneth 708776Agent - Life7/9/200910/13/2017
InactiveBebee, John Kenneth 708776Agent - Variable Life and Variable Annuities7/9/200910/13/2017
DeniedCampos, Michael 1161221Agent - Health  
ActiveCampos, Michael 1161221Agent - Life10/24/2022 
ActiveCampos, Michael 1161221Agent - Variable Life and Variable Annuities10/24/2022 
InactiveCross, Brittany Elaine 799941Agent - Health2/21/20205/24/2022
InactiveCross, Brittany Elaine 799941Agent - Life2/18/20205/24/2022
InactiveCross, Brittany Elaine 799941Agent - Variable Life and Variable Annuities2/18/20205/24/2022
DeniedDockter, Michelle E 1167526Agent - Health  
ActiveDockter, Michelle E 1167526Agent - Life3/22/2023 
ActiveDockter, Michelle E 1167526Agent - Variable Life and Variable Annuities3/22/2023 
DeniedKoesters, Susan R 1075882Agent - Life  
DeniedKoesters, Susan R 1075882Agent - Variable Life and Variable Annuities  
ActiveLongfellow, Kassie L 1263336Agent - Health6/25/2023 
ActiveLongfellow, Kassie L 1263336Agent - Life5/5/2023 
ActiveLongfellow, Kassie L 1263336Agent - Variable Life and Variable Annuities5/5/2023 
ActiveMendez, Matthew Leon 1194753Agent - Life8/3/2022 
ActiveMendez, Matthew Leon 1194753Agent - Variable Life and Variable Annuities8/3/2022 
InactiveSharpe, Dylan Thomas 1203817Agent - Health5/26/20226/25/2024
InactiveSharpe, Dylan Thomas 1203817Agent - Life5/26/20226/25/2024
InactiveSharpe, Dylan Thomas 1203817Agent - Variable Life and Variable Annuities5/26/20226/25/2024
InactiveTaylor, Jeffrey Lawrence 769473Agent - Health10/13/20174/30/2020
InactiveTaylor, Jeffrey Lawrence 769473Agent - Life10/13/20174/30/2020
InactiveTaylor, Jeffrey Lawrence 769473Agent - Variable Life and Variable Annuities10/25/20174/30/2020

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