DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, William V	DOIID	388994	NAIC NPN	1502679

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	3/31/2014
Inactive	Resident	Agent	Credit Life & Health	4/14/1992	8/7/2000
* 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	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	3/30/1998	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	3/31/2014
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	7/19/2000	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	1/25/2007
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	4/14/1992	9/23/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cecilian Bank	398349	Agent - Limited Line Credit	1/22/2004	3/31/2014
Inactive	PNC Bank NA	400230	Agent - Credit Life & Health	2/14/1998	8/7/2000
Inactive	PNC Bank NA	400230	Agent - Limited Line Credit	8/7/2000	5/31/2004
Inactive	PNC Bank-Kentucky Inc.	400578	Agent - Credit Life & Health	8/18/1993	2/22/1999