DEPARTMENT OF INSURANCE

Name	Clark, Jeannie	DOIID	349596	NAIC NPN	7191267

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	9/18/2003	5/31/2006
Inactive	Resident	Agent	Property	9/18/2003	9/30/2004
Inactive	Resident	Agent	Life	9/14/2003	9/30/2004
Inactive	Resident	Agent	Health	1/20/2004	9/30/2004
Inactive	Resident	Agent	General Lines	11/17/1994	8/15/2000

*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	State Farm 2909 Hikes LaneLouisville, KY 40218
Mailing	10700 Eagle Ridge Pl Louisville, KY 40223
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(502) 454-4442