DEPARTMENT OF INSURANCE
Licensee Search Details
NameClark, Brent DavidDOIID1367075NAIC NPN21168610
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
InactiveNon ResidentAgentHealth10/11/202412/31/2025  
InactiveNon ResidentAgentLife10/11/202412/31/2025  
*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.
No License Renewal Information
NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.
Address Information
TypeAddress
Business / Home Office571 Lingering Way Hendersonville, TN 37075
ResidenceNot Public Information
Internet Information
TypeAddress
Business Emailbrentclark.agent@gmail.com
Phone Information
TypePhone
Business / Home Office(615) 879-0241

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