Agency Information

WELLS FARGO CLEARING SERVICES, LLC

Address:

1 N JEFFERSON AVE

SAINT LOUIS, MO 63103-2205

Phone

605-679-9723

URL:

http://www.wellsfargo.com

Email:

agencylicensing@wellsfargo.com

National Producer Number:

25600

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	8711	10/01/2001	Active	12/12/2011	12/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Health	10/01/2001	Active	12/12/2011
Life	10/01/2001	Active	12/12/2011
Var. Annuities/Var. Life	10/01/2001	Active	12/12/2011

Company Name	Appointment Type	Status	Active Date
476
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA	Health	Active	06/22/2016
	Life	Active	06/22/2016
	Var. Annuities/Var. Life	Active	06/22/2016
1025
Company Name	Appointment Type	Status	Active Date
FORETHOUGHT LIFE INSURANCE COMPANY	Life	Active	04/01/2015
	Var. Annuities/Var. Life	Active	04/01/2015

row(s) 1 - 5 of 5

Name	Association Type	Agent	Begin Date	End Date
DONALD KEITH DAVENPORT	Designated Resp Lic Prdcr	Yes	09/25/2020	-
JOEL C JESSEN	Designated Resp Lic Prdcr	Yes	09/25/2020	-

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