DEPARTMENT OF INSURANCE

Name	Gordon, Douglas Steven	DOIID	330690	NAIC NPN	547024

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	4/12/1985	8/15/2000
Inactive	Resident	Agent	Prepaid Dental Plan	3/28/2000	3/1/2001
Inactive	Resident	Agent	Health Maintenance Organization	2/28/2000	3/1/2001
Pending Replacement	Resident	Agent	Casualty	7/9/2024		4/30/2028
Pending Replacement	Resident	Agent	Health	7/9/2024		4/30/2028
Pending Replacement	Resident	Agent	Property	7/9/2024		4/30/2028
Pending Replacement	Resident	Agent	Life	7/9/2024		4/30/2028
Inactive	Resident	Surplus Lines Broker	Not Applicable	7/17/2006	4/30/2016

*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	02/15/2026	04/30/2026	05/31/2026	05/31/2026	Yes

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	435 North Whittington Parkway Ste. 300Louisville, KY 40222
Residence	Not Public Information

Internet Information

Type	Address
Business Email	doug.gordon@assuredpartners.com

Phone Information

Type	Phone
Business / Home Office	(502) 894-2100