black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DAVID KIRK WALLER

PRODUCER NON-RESIDENT

License Number:
PRN317840
Status:
First Licensure:
09/26/2018
Cancel Date:
None

Mailing:
GRAHAM, TX 76450
Phone:
+1 (615) 481-7795
Email:
dkwaller04@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/26/2018

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
ANTHEM HEALTH PLANS OF MAINE INC.
12/15/2018 LHD70566
ANTHEM LIFE INSURANCE COMPANY
12/15/2018 LHF70467 04/11/2025
GOLDEN RULE INSURANCE COMPANY
10/01/2018 LHF918
NATIONAL HEALTH INSURANCE COMPANY
08/27/2021 LHF917

Authority

Description Issue Date Termination Date Status
HEALTH 09/26/2018 Active
LIFE 09/26/2018 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18752189

Other Addresses

Address Type
GRAHAM, TX 76450
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/23/2025 12:38:23 AM