DEPARTMENT OF INSURANCE
Affiliations
NameClark, Tomisha DOIID1220127NAIC NPN20324529
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentPersonal Lines7/29/2022 9/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202409/30/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveState Farm Fire and Casualty Company301809Agent - Personal Lines8/2/202211/3/2022
InactiveState Farm Mutual Automobile Insurance Company301732Agent - Personal Lines8/2/202211/3/2022
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedTZ Insurance Solutions LLC727470Agent - Personal Lines  

© Commonwealth of Kentucky. All rights reserved.