DEPARTMENT OF INSURANCE

Name	Clark, Teri Lynne	DOIID	575427	NAIC NPN	3575768

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Adjuster	Independent	5/25/2004	7/1/2010
Inactive	Resident	Apprentice Adjuster	Not Applicable	8/28/2003	5/25/2004
Pending Replacement	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010		5/31/2025	Oklahoma

*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
Staff Adjuster	03/15/2025	05/31/2025

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	4175 Chesterland Blvd Stow, OH 442241820
Residence	Not Public Information

Internet Information

Type	Address
Business Email	TBORSILLI@NEO.RR.COM

Phone Information

Type	Phone
Business / Home Office	(330) 697-5893