DEPARTMENT OF INSURANCE

Name	Gould, William Bradford	DOIID	381265	NAIC NPN	233373

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/30/1996		9/30/2024
Active	Non Resident	Agent	Life	8/30/1996		9/30/2024
Inactive	Non Resident	Agent	Health Maintenance Organization	4/17/1995	3/1/2001

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

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024

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
Residence	Not Public Information
Mailing	3800 North Central Avenue 9th FloorPhoenix, AZ 85012
Business / Home Office	3800 North Central Avenue 9th FloorPhoenix, AZ 85012

Phone Information

Type	Phone
Business / Home Office	(800) 407-0376 Ext-1318
Fax	(602) 241-9711