DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gough, David Ray	DOIID	592666	NAIC NPN	8170550

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	8/26/2004	7/1/2010
Inactive	Resident	Apprentice Adjuster	Not Applicable	7/19/2004	8/26/2004
Inactive	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010	2/29/2020
* 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	State Farm Mutual Automobile Insurance Company	301732	Adjuster - Independent	7/18/2007	7/1/2010
Inactive	State Farm Mutual Automobile Insurance Company	301732	Staff Adjuster - Property & Casualty	7/1/2010	3/21/2016

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dase, Carrie Ann	604181	Apprentice Adjuster - Not Applicable	3/2/2005	4/19/2005
Inactive	Mayle, Alison Leah	604175	Apprentice Adjuster - Not Applicable	3/2/2005	4/12/2005

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Griffin-Wingo, Kathryn K	573910	Apprentice Adjuster - Not Applicable	7/19/2004	8/26/2004