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DEPARTMENT OF INSURANCE
Affiliations
Name
Henley, Deracey
DOIID
769901
NAIC NPN
16464670
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Personal Lines
11/29/2016
6/30/2026
Inactive
Non Resident
Agent
Life
10/19/2012
6/30/2016
* 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
Nationwide Life Insurance Company
300495
Agent - Life
10/25/2012
6/30/2016
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
10/25/2012
6/30/2016
Active
Nationwide Mutual Insurance Company
301749
Agent - Personal Lines
2/23/2021
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Nationwide Sales Solutions Inc
631821
Agent - Personal Lines
2/23/2021
Inactive
Nationwide Sales Solutions Inc
631821
Agent - Life
12/3/2013
6/30/2016
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