DEPARTMENT OF INSURANCE

Name	Douglas, David	DOIID	595510	NAIC NPN	8226955

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	3/31/2005	11/30/2025
Active	Resident	Agent	Life	9/21/2004	11/30/2025
Active	Resident	Agent	Casualty	3/31/2005	11/30/2025
Active	Resident	Agent	Health	9/21/2004	11/30/2025
Active	Resident	Surplus Lines Broker	Not Applicable	9/29/2020	11/30/2025

*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	Arthur J. Gallagher & Co 1601 Alliant AveLouisville, KY 402996338
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(502) 426-6060