DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Victoria Joan	DOIID	309594	NAIC NPN	7159886

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	4/14/1999	8/11/2000
Inactive	Resident	Agent	Health	4/14/1999	8/11/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Health	4/14/1999	8/11/2000
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Life	4/14/1999	8/11/2000
Inactive	First Alliance Insurance Company	301000	Agent - Life	5/13/1999	2/28/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Senior Benefits Inc.	398077	Agent - Life	4/26/1999	8/11/2000
Inactive	Senior Benefits Inc.	398077	Agent - Health	4/26/1999	8/11/2000