PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameDuell-Clark Funeral Chapel Inc.DOIID399212NAIC NPN7221492
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife5/19/19873/31/1997 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveForethought Life Insurance Company301407Agent - Life5/19/19873/31/1997
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveClark, David Paul 340954Agent - Life5/19/19873/31/1997
InactiveClark, Don Wise 340953Agent - Life5/19/19873/31/1997
InactiveMcDaniel, Marilyn Lavaughn 328924Agent - Life10/23/19923/31/1997

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