DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Donna J	DOIID	365560	NAIC NPN	547211

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	6/2/1992	7/20/1998
Inactive	Resident	Agent	Health	6/2/1992	7/20/1998
* 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	Commonwealth Annuity and Life Insurance Company	300798	Agent - Health	2/17/1995	3/31/1997
Inactive	Commonwealth Annuity and Life Insurance Company	300798	Agent - Life	2/17/1995	3/31/1997
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	1/23/1995	1/23/1996
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	2/2/1995	2/1/1996
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	2/2/1995	2/1/1996
Inactive	Trustmark Insurance Company	300317	Agent - Health	6/2/1992	3/31/1997
Inactive	Trustmark Insurance Company	300317	Agent - Life	6/2/1992	3/31/1997
Inactive	Veterans Life Insurance Company	300589	Agent - Health	5/20/1994	7/20/1998
Inactive	Veterans Life Insurance Company	300589	Agent - Life	5/20/1994	7/20/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	7/1/1993	7/20/1998
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	7/1/1993	7/20/1998