DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Kwame	DOIID	845533	NAIC NPN	17317216

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/2/2015	11/30/2020
Inactive	Non Resident	Agent	Personal Lines	7/15/2014	3/12/2019
* 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	Nationwide Mutual Insurance Company	301749	Agent - Personal Lines	7/18/2014	3/13/2018
Inactive	Progressive Casualty Insurance Company	300696	Agent - Personal Lines	8/20/2014	3/19/2018
Inactive	Trumbull Insurance Company	300242	Agent - Personal Lines	8/7/2018	12/13/2018
Inactive	Twin City Fire Insurance Company	300721	Agent - Personal Lines	7/30/2018	12/13/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Personal Lines	8/7/2014	3/19/2018
Denied	Nationwide Sales Solutions Inc	631821	Agent - Life