black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MICHAEL W. GRAY

PRODUCER NON-RESIDENT

License Number:
PRN290736
Status:
First Licensure:
07/29/2017
Cancel Date:
None

Mailing:
CHEYENNE, WY 82009
Phone:
+1 (307) 421-3426
Fax:
+1 (888) 509-2370
Email:
mgray@c1s.net

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 07/29/2017

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA
05/30/2019 LHF846
ATHENE ANNUITY AND LIFE COMPANY
08/22/2017 LHF64369
AUGUSTAR LIFE INSURANCE COMPANY
08/22/2017 LHF979 05/21/2019
SECURITY BENEFIT LIFE INSURANCE COMPANY
06/07/2022 LHF259

Authority

Description Issue Date Termination Date Status
LIFE 07/29/2017 Active
VARIABLE CONTRACTS 07/29/2017 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1605574

Other Addresses

Address Type
1623 CENTRAL AVE STE 152
CHEYENNE, WY 82001-4531
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: 05/13/2025 06:36:44 AM