DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Cheryl Lea	DOIID	536102	NAIC NPN	718829

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	2/10/2003	12/15/2009
Inactive	Non Resident	Agent	Health	8/24/2001	12/15/2009
Inactive	Non Resident	Agent	Property	2/10/2003	12/15/2009
Inactive	Non Resident	Agent	Life	8/24/2001	12/15/2009
* 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	ACE American Insurance Company	300625	Agent - Casualty	2/10/2007	12/15/2009
Inactive	ACE American Insurance Company	300625	Agent - Property	2/10/2007	12/15/2009
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	10/25/2001	8/14/2002
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	10/25/2001	8/14/2002
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Health	2/1/2003	3/11/2004
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Life	2/1/2003	3/11/2004
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Casualty	2/10/2003	3/11/2004
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Property	2/10/2003	3/11/2004
Inactive	Continental Casualty Company	301019	Agent - Health	6/26/2002	12/2/2004
Inactive	Everlake Life Insurance Company	300873	Agent - Health	7/28/2003	12/16/2003
Inactive	Everlake Life Insurance Company	300873	Agent - Life	7/28/2003	12/16/2003
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	5/5/2004	5/9/2008
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	5/5/2004	5/9/2008
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	11/11/2005	12/15/2009
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Health	8/24/2001	3/6/2006
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	8/24/2001	3/6/2006
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	4/24/2006	11/17/2009
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	4/24/2006	11/17/2009
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	4/24/2006	11/17/2009
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	4/24/2006	11/17/2009
Inactive	Veterans Life Insurance Company	300589	Agent - Health	8/24/2001	3/6/2006
Inactive	Veterans Life Insurance Company	300589	Agent - Life	8/24/2001	3/6/2006
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	1/24/2002	12/2/2004
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	1/24/2002	12/2/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TeleSpectrum, Inc	512199	Agent - Life	6/10/2002	5/2/2003
Inactive	TeleSpectrum, Inc	512199	Agent - Health	6/10/2002	5/2/2003
Inactive	Telespectrum Inc	604670	Agent - Life	3/8/2007	3/31/2009
Inactive	e-Telequote Insurance, Inc.	687772	Agent - Life	12/8/2008	11/17/2009
Inactive	e-Telequote Insurance, Inc.	687772	Agent - Health	12/8/2008	11/20/2009
Inactive	e-Telequote Insurance, Inc.	687772	Agent - Casualty	12/8/2008	11/20/2009
Inactive	e-Telequote Insurance, Inc.	687772	Agent - Property	12/8/2008	11/20/2009