DEPARTMENT OF INSURANCE
Licensee Search Details
NameClarke, Michael LawrenceDOIID761981NAIC NPN15777374
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
InactiveNon ResidentAgentLife8/26/201111/30/2013  
InactiveNon ResidentAgentHealth8/26/201111/30/2013  
*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 Office9500 Ray White Rd Ste 200 Keller, TX 76248
ResidenceNot Public Information
Internet Information
TypeAddress
Business Emaillac@extendhealth.com - Bad Email-Correction requested
Phone Information
TypePhone
Business / Home Office(801) 413-0990

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