DEPARTMENT OF INSURANCE

Name	Clark, Katacha Lashon	DOIID	1062893	NAIC NPN	18243298

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Agent	Casualty	10/28/2019		11/30/2025
Active	Non Resident	Agent	Property	10/28/2019		11/30/2025

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2025	11/30/2025

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
Business / Home Office	3551 Wilshire Way Apt 3104 Richardson, TX 750820055
Residence	Not Public Information

Internet Information

Type	Address
Business Email	Katacha.Clark@libertymutual.com

Phone Information

Type	Phone
Business / Home Office	(469) 836-1048