DEPARTMENT OF INSURANCE

Name	Clark, Teri Lynne	DOIID	575427	NAIC NPN	3575768

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Adjuster	Independent	5/25/2004	7/1/2010
Inactive	Resident	Apprentice Adjuster	Not Applicable	8/28/2003	5/25/2004
Active	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010		5/31/2025	Kentucky

*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
Residence	Not Public Information
Business / Home Office	1 Nationwide Plz Columbus, OH 432152226

Phone Information

Type	Phone
Business / Home Office	(480) 365-2312