DEPARTMENT OF INSURANCE
Licensee Search Details
NameClark, Jordan DOIID1340048NAIC NPN20615846
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
ActiveNon ResidentAgentLife5/13/2024 10/31/2026 
ActiveNon ResidentAgentProperty5/13/2024 10/31/2026 
ActiveNon ResidentAgentCasualty5/13/2024 10/31/2026 
ActiveNon ResidentAgentHealth5/13/2024 10/31/2026 
*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent08/15/202610/31/2026   
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 Office220 N Gospel St Paoli, IN 474541410
ResidenceNot Public Information
Internet Information
TypeAddress
Business Emailjordan@diinc.net
Phone Information
TypePhone
Business / Home Office(812) 283-3500

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