DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gullett, Cindy Joann	DOIID	764736	NAIC NPN	16404772

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	12/27/2011	9/1/2015
Inactive	Resident	Agent	Life	12/27/2011	9/1/2015
* 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	American National Insurance Company	301861	Agent - Health	4/3/2012	9/4/2015
Inactive	American National Insurance Company	301861	Agent - Life	4/3/2012	9/4/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Town Square Bank	399399	Agent - Life	1/21/2014	9/1/2015
Inactive	Town Square Bank	399399	Agent - Health	1/21/2014	9/1/2015