DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Goughler, Marc D	DOIID	500729	NAIC NPN	7210676

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Personal Property & Unemployment	12/29/1999	8/7/2000
Inactive	Resident	Agent	Credit Life & Health	12/29/1999	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	4/30/2006
Inactive	Resident	Agent	Life	8/14/2006	4/30/2008
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Credit Personal Property & Unemployment	2/10/2000	8/7/2000
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Limited Line Credit	8/7/2000	11/15/2003
Inactive	Bestow Life Insurance Company	300577	Agent - Credit Life & Health	12/29/1999	8/7/2000
Inactive	Bestow Life Insurance Company	300577	Agent - Limited Line Credit	8/7/2000	1/26/2006
Inactive	Centurion Casualty Company	301715	Agent - Credit Personal Property & Unemployment	12/29/1999	8/7/2000
Inactive	Centurion Casualty Company	301715	Agent - Limited Line Credit	8/7/2000	1/26/2006
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	10/25/2006	4/30/2008
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	8/18/2006	4/30/2008
Inactive	Western National Life Insurance Company	300461	Agent - Life	10/24/2006	4/30/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Life	10/26/2006	4/30/2008