black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CHARLES A. WALLER

PRODUCER NON-RESIDENT

License Number:
PRN141516
Status:
First Licensure:
06/27/2007
Cancel Date:
None

Mailing:
NORCROSS, GA 30092
Phone:
+1 (800) 852-1915
Fax:
+1 (678) 417-1745
Email:
awaller@ameritas.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/27/2007

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERITAS LIFE INSURANCE CORP
07/10/2007 LHF944

Authority

Description Issue Date Termination Date Status
HEALTH 06/27/2007 Active
LIFE 06/27/2007 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
7040451

Other Addresses

Address Type
NORCROSS, GA 30092
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: 12/11/2025 05:06:14 AM