DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Goodman, William Charles	DOIID	692887	NAIC NPN	67400

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Apprentice Adjuster	Not Applicable	10/31/2008	10/16/2009
Inactive	Non Resident	Independent Adjuster	Workers' Compensation	8/5/2015	11/1/2016
Inactive	Resident	Staff Adjuster	Crop	7/1/2010	8/5/2015
Inactive	Resident	Staff Adjuster	Workers' Compensation	10/16/2009	8/5/2015
* 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	Broadspire Services, Inc.	396187	Independent Adjuster - Workers' Compensation	8/20/2015	11/1/2016

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Carlson, James Lee	596514	Apprentice Adjuster - Not Applicable	10/31/2008	10/16/2009