black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

NICOLA CLARK

PRODUCER RESIDENT

License Number:
PRR478866
Status:
Suspended Suspended Until: 04/30/2026
First Licensure:
03/13/2024
Cancel Date:
None
Renewal Date:
04/30/2026

Continuing Education:
Required by 11/30/2025
Hours Required:
Ethics:
3
Total Required:
24
Hours Acquired:
Ethics:
0
Total Acquired:
0

Mailing:
ATHENS, ME 04912
Phone:
+1 (207) 399-4654
Email:
nicolaclark.sfg@gmail.com

History

License Type Start Date End Date
*** NOT ACTIVE *** 03/01/2026 04/30/2026
PRODUCER RESIDENT 03/13/2024 02/28/2026

License Suspension

Start Date End Date
03/01/2026 04/30/2026

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN GENERAL LIFE INSURANCE COMPANY
03/30/2024 LHF119 10/11/2025
BANNER LIFE INSURANCE COMPANY
04/04/2024 LHF50047
FIDELITY & GUARANTY LIFE INSURANCE COMPANY
03/21/2024 LHF168
MUTUAL OF OMAHA INSURANCE COMPANY
03/14/2024 LHF84 02/24/2025
THE SAVINGS BANK MUTUAL LIFE INSURANCE COMPANY OF MASSACHUSETTS
03/29/2024 LHF50668

Authority

Description Issue Date Termination Date Status
HEALTH 03/13/2024 Active
LIFE 03/13/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
21106718

Other Addresses

Address Type
50 BROWNS CORNER RD
CANAAN, ME 04924-3053
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: 03/14/2026 12:15:04 PM