DEPARTMENT OF INSURANCE

Affiliations

Name	Worth, Douglas Scott	DOIID	359260	NAIC NPN	1016617

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	6/9/1997	10/31/2004
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIG Technical Services Inc.	401152	Adjuster - Independent	6/9/1997	3/31/1998
Inactive	Gulf Insurance Company	300761	Adjuster - Independent	2/1/1999	10/31/2004