DEPARTMENT OF INSURANCE

Name	Macdougall, Keith David	DOIID	337608	NAIC NPN	2346004

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Adjuster	Independent	10/13/1999	9/5/2001

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	70 Pine Street 22nd FloorNew York, NY 10005
Residence	Not Public Information