DEPARTMENT OF INSURANCE

Name	C Philip Clark & Associates Inc.	DOIID	398294	NAIC NPN	7220801

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	4/4/1988	3/31/2018
Inactive	Resident	Agent	Life	4/4/1988	3/31/2018
Inactive	Resident	Agent	Health Maintenance Organization	12/14/1988	3/1/2001

*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.

Address Information

Type	Address
Business / Home Office	101 East Second St Ste 100 Owensboro, KY 42303

Phone Information

Type	Phone
Business / Home Office	(270) 683-1554