DEPARTMENT OF INSURANCE

Name	Gorham, Nicholas	DOIID	974280	NAIC NPN	17000026

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Casualty	10/25/2017	12/31/2020
Inactive	Non Resident	Agent	Property	10/25/2017	12/31/2020
Active	Non Resident	Independent Adjuster	Property & Casualty	12/22/2023		12/31/2024	Oklahoma
Inactive	Non Resident	Staff Adjuster	Property & Casualty	8/20/2019	12/15/2023

*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
Independent Adjuster	10/15/2024	12/31/2024

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
Business / Home Office	6000 American Pkwy Madison, WI 537830001

Phone Information

Type	Phone
Business / Home Office	(800) 692-6326