DEPARTMENT OF INSURANCE
Affiliations
NameBlack, Marilyn JDOIID787985NAIC NPN7905511
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife8/9/20128/31/2015 
InactiveNon ResidentAgentVariable Life and Variable Annuities8/9/20128/31/2015 
* 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.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities8/17/20128/31/2015
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedMorgan Stanley Insurance Services Inc644934Agent - Life  
InactiveMorgan Stanley Insurance Services Inc644934Agent - Variable Life and Variable Annuities8/17/20125/20/2014
DeniedWells Fargo Advisors Insurance Agency LLC399972Agent - Life  
InactiveWells Fargo Advisors Insurance Agency LLC399972Agent - Variable Life and Variable Annuities5/20/20148/31/2015

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