DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Goist, David Joseph	DOIID	541042	NAIC NPN	7220175

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	4/23/2002	3/19/2009
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	12/13/2001	4/23/2002
* 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	LM Property and Casualty Insurance Company	301658	Adjuster - Independent	4/23/2002	3/5/2004
Inactive	Liberty Mutual Insurance Company	301159	Adjuster - Independent	3/5/2004	3/19/2009

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Witkowski, Charles E	316500	Apprentice Adjuster - Not Applicable	12/13/2001	4/23/2002