CONNIE S CLACK

Agent ID:	10496430
National Producer ID:	8440338
Mailing Address:	270 BERKELEY WAY
	DALLAS, GA 30157-2139
Resident State:	GA
Phone:	781-332-7822

Agent License

Type	Status	Issue Date	Expiration Date
Insurance Producer	Active	7/20/2017	10/31/2024

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
Casualty	7/20/2017
Property	7/20/2017

Agent Appointments

2 Records Found

License Number	Company Name	Issue Date
7700542	BITCO General Insurance Corporation	11/22/2017
7700544	BITCO National Insurance Company	11/22/2017