DEPARTMENT OF INSURANCE
Affiliations
NameChilton, Douglas LDOIID858375NAIC NPN17408927
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentVariable Life and Variable Annuities12/31/20149/12/2016 
InactiveNon ResidentAgentLife11/10/20149/12/2016 
* 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
InactiveForesters Life Insurance and Annuity Company300882Agent - Life11/10/20148/10/2015
InactiveForesters Life Insurance and Annuity Company300882Agent - Variable Life and Variable Annuities12/31/20148/10/2015
InactiveIndependent Order of Foresters300743Agent - Life1/12/20158/21/2015
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
WithdrawnWells Fargo Wealth Brokerage Insurance Agency, LLC547888Agent - Life  
WithdrawnWells Fargo Wealth Brokerage Insurance Agency, LLC547888Agent - Variable Life and Variable Annuities  

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