Search → MADISON CLARK
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
MADISON CLARK
PRODUCER NON-RESIDENT
License Number:
PRN344123
Status:
First Licensure:
11/15/2019
Cancel Date:
None
Mailing:
LOUISVILLE, KY 40299
Phone:
+1 (470) 489-1784
Fax:
+1 (470) 489-1784
Email:
madison.clark@adp.com
| License Type | Start Date | End Date |
|---|---|---|
| PRODUCER NON-RESIDENT | 11/15/2019 |
Agency
None.
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| AMTRUST INSURANCE COMPANY |
09/20/2022 | PCF260762 | ||
| EMPLOYERS ASSURANCE COMPANY |
11/22/2019 | PCF285638 | ||
| EMPLOYERS COMPENSATION INSURANCE COMPANY |
11/22/2019 | PCF285639 | ||
| EMPLOYERS PREFERRED INSURANCE COMPANY |
11/22/2019 | PCF285637 | ||
| SECURITY NATIONAL INSURANCE COMPANY |
01/02/2020 | PCF189490 | ||
| SEQUOIA INSURANCE COMPANY |
09/20/2022 | PCF128467 | ||
| TECHNOLOGY INSURANCE COMPANY INC |
01/02/2020 | PCF136874 | ||
| WESCO INSURANCE COMPANY |
01/02/2020 | PCF49735 |
| Description | Issue Date | Termination Date | Status |
|---|---|---|---|
| CASUALTY | 11/15/2019 | Active | |
| PROPERTY | 11/15/2019 | Active |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN):
19332653
| Address | Type |
|---|---|
| 11405 BLUEGRASS PKWY LOUISVILLE, KY 40299-2349 |
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: 05/14/2025 04:22:57 AM
