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	Health Maintenance Organization	2/28/2000	3/1/2001
Inactive	Resident	Agent	Prepaid Dental Plan	3/28/2000	3/1/2001
Inactive	Resident	Agent	General Lines	4/12/1985	8/15/2000
Pending Replacement	Resident	Agent	Life	7/17/2006		4/30/2026
Pending Replacement	Resident	Agent	Property	7/17/2006		4/30/2026
Pending Replacement	Resident	Agent	Casualty	7/17/2006		4/30/2026
Pending Replacement	Resident	Agent	Health	7/17/2006
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.

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	435 N Whittington Pkwy Ste 300 Louisville, KY 402224184
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(502) 635-7066