black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

PAMELA J. CLARK

PRODUCER NON-RESIDENT

License Number:
PRN247087
Status:
First Licensure:
03/03/2015
Cancel Date:
None

Mailing:
AUBURN, WA 98071
Phone:
+1 (206) 676-5663
Email:
pam.clark@kpcom.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/03/2015

Agency

Name Issue Date License Number Expiration Date Cancel Date
KIBBLE & PRENTICE HOLDING COMPANY
03/03/2015 AGN96674

Employer

Name Issue Date License Number Expiration Date Cancel Date
ANTHEM HEALTH PLANS OF MAINE INC.
04/01/2015 LHD70566 06/10/2020
ANTHEM LIFE INSURANCE COMPANY
04/01/2015 LHF70467 06/10/2020
MAINE DENTAL SERVICE CORP
02/24/2020 NPD29330

Authority

Description Issue Date Termination Date Status
HEALTH 03/03/2015 Active
LIFE 03/03/2015 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
5759587

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 10/12/2025 10:05:35 PM