DEPARTMENT OF INSURANCE
Affiliations
NameD Eredita, David TaylorDOIID777484NAIC NPN16564999
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth3/16/20125/31/2021 
InactiveNon ResidentAgentLife3/16/20125/31/2021 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Life8/11/20205/31/2021
InactiveOceanview Life and Annuity Company301868Agent - Life8/7/20205/31/2021
InactivePacific Life Insurance Company301848Agent - Health5/21/20188/10/2018
InactivePacific Life Insurance Company301848Agent - Life5/21/20188/10/2018
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveJoshua David Mellberg LLC859326Agent - Life5/21/20186/1/2018
InactiveJoshua David Mellberg LLC859326Agent - Health5/21/20186/1/2018
InactiveRetirement Income LLC798212Agent - Life11/23/20121/13/2016
InactiveRetirement Income LLC798212Agent - Health11/23/20121/13/2016

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