DAVID A. CLARK

Agent ID:	11789
National Producer ID:	3780099
Mailing Address:	850 WESTERLY DR
	BRANDON, MS 39042-9578
Resident State:	MS
Phone:	601-500-2030

Agent License

Type	Status	Issue Date	Expiration Date
Insurance Producer	Active	10/27/2009	9/30/2025
Surplus Lines Ins	Active	10/27/2009	9/30/2025

Notice: As a result of a data conversion some licenses and qualifications reflect a 10/27/2009 issue date when in fact the license may have been held prior to this date. If you have any questions about the issue date of a license, please contact the Licensing Division of the Mississippi Insurance Department by telephone 601-359-3582 or by email at licensing@mid.ms.gov.

Agent Qualifications

Type	Issue Date
Accident & Health or Sickness	10/1/2000
Casualty	10/27/2009
Life	10/1/2000
Property	10/27/2009
Var Life and Var Ann Products	10/7/2010

Agent Appointments

10 Records Found

License Number	Company Name	Issue Date
8300012	Alfa General Insurance Corporation	9/24/2024
7700653	Alfa Insurance Corporation	9/24/2024
7700170	Alfa Life Insurance Corporation	9/24/2024
7700073	American National Insurance Company	9/22/2022
8600066	American-Amicable Life Insurance Company of Texas	5/19/2022
8400013	Banner Life Insurance Company	9/20/2022
8700070	Cincinnati Life Insurance Company, The	9/6/2022
7700171	Gerber Life Insurance Company	8/19/2022
7700241	Kansas City Life Insurance Company	11/29/2022
7701000	Western Surety Company	3/11/2022