Individual Information

MICHAEL DOUGLAS SHANNON

Address:

FORT WASHINGTON, PA 19034-0187

Status:

Active

Email:

mike.shannon@newportgroup.com

Date:

01/30/2012

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	801564	01/30/2012	Active	01/30/2012	01/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Health	01/30/2012	Active	01/30/2012
Life	01/30/2012	Active	01/30/2012
Var. Annuities/Var. Life	02/07/2012	Active	02/07/2012

Company Name	Appointment Type	Status	Active Date
378
LINCOLN NATIONAL LIFE INSURANCE COMPANY	Health	Active	09/16/2024
	Life	Active	09/16/2024
	Var. Annuities/Var. Life	Active	09/16/2024
992
Company Name	Appointment Type	Status	Active Date
NEW YORK LIFE INSURANCE & ANNUITY CORPORATION	Health	Active	06/14/2013
	Life	Active	06/14/2013
	Var. Annuities/Var. Life	Active	06/14/2013

row(s) 1 - 6 of 6

Organization	Association Type	Type	Beg dte	End dte
NEWPORT GROUP INC	Designated Resp Lic Prdcr	Agency	03/26/2020	-
ASCENSUS BROKER DEALER SERVICES, LLC	Designated Resp Lic Prdcr	Agency	05/08/2023	-

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