DEPARTMENT OF INSURANCE
Licensee Search Details
NameClark, Nicole ADOIID925745NAIC NPN8717772
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
InactiveNon ResidentAgentHealth8/23/201611/30/2018  
*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 Office3450 Palencia Dr Apt 803 Tampa, FL 336181849
ResidenceNot Public Information
Phone Information
TypePhone
Business / Home Office(772) 561-1640

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