black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MICHELLE L. CLARK

PRODUCER NON-RESIDENT

License Number:
PRN199823
Status:
First Licensure:
02/09/2012
Cancel Date:
None

Mailing:
GREENWOOD VILLAGE, CO 80111
Phone:
+1 (303) 334-2523
Fax:
+1 (303) 334-2523
Email:
miclark@crcgroup.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/09/2012

Agency

Name Issue Date License Number Expiration Date Cancel Date
BURNS & WILCOX LTD
03/20/2023 AGN81523 10/10/2023
CRC INSURANCE SERVICES LLC
11/03/2023 AGN38700
RSG SPECIALTY LLC
04/02/2012 AGN176560 10/11/2020

Employer

None.

Authority

Description Issue Date Termination Date Status
CASUALTY 02/09/2012 Active
PROPERTY 02/09/2012 Active
SURPLUS LINES 05/15/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
6766590

Other Addresses

Address Type
GREENWOOD VILLAGE, CO 80111
Office

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: 05/18/2025 02:20:01 AM