black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CRYSTAL C. CLARK

PRODUCER NON-RESIDENT

License Number:
PRN540105
Status:
First Licensure:
02/10/2026
Cancel Date:
None

Mailing:
HENRICO, VA 23294
Phone:
+1 (804) 405-9485
Fax:
+1 (336) 435-0750
Email:
cclct@allstate.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/10/2026

Agency

Name Issue Date License Number Expiration Date Cancel Date
AFFINITY BROKERAGE LLC
02/10/2026 AGN55398
DIRECT GENERAL INSURANCE AGENCY INC
02/10/2026 AGN471211
NATIONAL GENERAL INSURANCE MARKETING INC
02/10/2026 AGN43510

Employer

Name Issue Date License Number Expiration Date Cancel Date
INTEGON PREFERRED INSURANCE COMPANY
03/12/2026 PCF873

Authority

Description Issue Date Termination Date Status
PERSONAL LINES 02/10/2026 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
22116167

Other Addresses

Address Type
HENRICO, VA 23294
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: 04/16/2026 07:42:54 AM