DEPARTMENT OF INSURANCE
Licensee Search Details
NameClark, Keith BDOIID1338645NAIC NPN20842490
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
ActiveNon ResidentAgentLife5/3/2024 3/31/2026 
*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 Office5880 Live Oak Pkwy Suite 140Norcross, GA 30093
ResidenceNot Public Information
Internet Information
TypeAddress
Business EmailFSU4KBC1@GMAIL.COM
Phone Information
TypePhone
Business / Home Office(513) 532-0738

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