DEPARTMENT OF INSURANCE
Licensee Search Details
NameClark, Jason BrianDOIID635872NAIC NPN8855261
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
InactiveResidentAgentHealth8/9/20062/28/2009  
InactiveResidentAgentProperty1/24/20081/23/2009  
InactiveResidentAgentLife8/9/20062/28/2009  
InactiveResidentAgentCasualty1/24/20081/23/2009  
*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
ResidenceNot Public Information
Business / Home OfficeLakeland Insurance Group 2110 S Hwy 127Russell Springs, KY 42642
Internet Information
TypeAddress
Business Emailjasonlig@yahoo.com - Bad Email-Correction requested
Phone Information
TypePhone
Business / Home Office(270) 866-9600

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