DEPARTMENT OF INSURANCE

Affiliations

Name	Van Wyngarden, Eric D	DOIID	856904	NAIC NPN	17387473

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/16/2014	9/30/2016
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Berthel Fisher & Company Insurance Inc	678071	Agent - Life