ANDREW CLARK

Agent ID:	10666425
National Producer ID:	17200825
Mailing Address:	213 WASHINGTON ST
	NEWARK, NJ 07102-2917
Resident State:	NJ
Phone:	973-367-6044

Agent License

Type	Status	Issue Date	Expiration Date
Insurance Producer	Active	2/21/2020	6/30/2025

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
Life	2/21/2020
Var Life and Var Ann Products	2/21/2020

Agent Appointments

1 Records Found

License Number	Company Name	Issue Date
8500044	Empower Annuity Insurance Company	2/24/2020