DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gouwens, Patrick Robert	DOIID	374260	NAIC NPN	7202027

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	4/4/2000	3/8/2005
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	5/10/1999	4/4/2000
Active	Non Resident	Independent Adjuster	Property & Casualty	9/12/2023		7/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Independent Adjuster	05/15/2026	07/31/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aig Claims Inc	401148	Independent Adjuster - Property & Casualty	1/5/2011	7/31/2014
Inactive	CNA Claimplus, Inc	569456	Adjuster - Independent	5/13/2003	3/8/2005
Inactive	Continental Casualty Company	301019	Adjuster - Independent	4/4/2000	3/8/2005
Active	Private Client Select Insurance Services LLC	1242047	Independent Adjuster - Property & Casualty	12/13/2023

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Beard, Deonne Lynise	583067	Apprentice Adjuster - Not Applicable	1/15/2004	2/27/2004
Inactive	Brewer, Paula Kathryn	561896	Apprentice Adjuster - Not Applicable	12/18/2002	2/7/2003
Inactive	Cephus, Carl E	557118	Apprentice Adjuster - Not Applicable	10/15/2002	2/7/2003
Inactive	Evans, Mary Rita	583063	Apprentice Adjuster - Not Applicable	1/15/2004	2/27/2004
Inactive	Graziano, Janice Linda	557119	Apprentice Adjuster - Not Applicable	11/1/2002	2/7/2003
Inactive	Hennessy, Timothy Robert	561894	Apprentice Adjuster - Not Applicable	12/18/2002	3/21/2003
Inactive	Lamberti, Greg	561895	Apprentice Adjuster - Not Applicable	12/18/2002	2/7/2003
Inactive	Siemers, Arthur A	583287	Apprentice Adjuster - Not Applicable	1/20/2004	3/5/2004
Inactive	Skeggs, Melissa Maren	583731	Apprentice Adjuster - Not Applicable	1/27/2004	2/27/2004
Inactive	Stafford, Jennifer	556857	Apprentice Adjuster - Not Applicable	10/10/2002	2/7/2003

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brown, Lewis R	308647	Apprentice Adjuster - Not Applicable	5/10/1999	4/4/2000