DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Mary Lucille	DOIID	310071	NAIC NPN	548472

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	1/9/2003	6/1/2011
Inactive	Resident	Agent	Health	1/9/2003	6/1/2011
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	7/31/2006	6/1/2011
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	7/31/2006	6/1/2011
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	6/26/2007	6/4/2010
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	2/21/2007	11/23/2010
Inactive	American National Life Insurance Company of Texas	300912	Agent - Life	2/21/2007	11/23/2010
Inactive	Athene Annuity and Life Company	301893	Agent - Life	7/6/2006	6/2/2009
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	8/13/2007	9/16/2008
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	8/13/2007	9/16/2008
Inactive	Liberty National Life Insurance Company	300827	Agent - Health	5/11/2009	6/1/2011
Inactive	Liberty National Life Insurance Company	300827	Agent - Life	5/11/2009	6/1/2011
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	8/23/2006	1/25/2007
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	8/23/2006	1/25/2007
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	1/29/2003	2/17/2011
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	1/29/2003	2/17/2011
Inactive	United American Insurance Company	300910	Agent - Health	4/26/2005	6/1/2011
Inactive	United American Insurance Company	300910	Agent - Life	4/26/2005	6/1/2011
Inactive	United Investors Life Insurance Company	301873	Agent - Life	1/27/2003	1/10/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Planchoice Inc.	400482	Agent - Life	3/5/2003	6/1/2011
Inactive	Planchoice Inc.	400482	Agent - Health	3/5/2003	6/1/2011