EBONY NICOLE CLARK

Agent ID:	10717964
National Producer ID:	7749721
Mailing Address:	1316 HARDWOOD TRL
	CORDOVA, TN 38016-8513
Resident State:	TN
Phone:	901-209-4015

Agent License

Type	Status	Issue Date	Expiration Date
Insurance Producer	Active	7/19/2022	6/30/2024

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
Accident & Health or Sickness	7/19/2022
Life	7/19/2022

Agent Appointments

4 Records Found

License Number	Company Name	Issue Date
7900070	Augustar Life Assurance Corporation	11/9/2023
7700297	Life Insurance Company of the Southwest	10/3/2022
7700325	Mutual of Omaha Insurance Company	8/8/2023
7700453	United of Omaha Life Insurance Company	10/5/2023