DEPARTMENT OF INSURANCE

Name	Clark, Jyl B	DOIID	318798	NAIC NPN	7167204

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	1/8/2009	11/30/2011
Inactive	Non Resident	Agent	Life	1/8/2009	11/30/2011
Inactive	Non Resident	Agent	Credit Life & Health	4/19/1984	4/30/1998
Denied	Non Resident	Life & Health Consultant	Not Applicable

*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

Type	Address
Business / Home Office	100 Mallard Creek Rd. Suite 310 Louisville, KY 40207
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(812) 987-8922