DEPARTMENT OF INSURANCE

Name	Gouwens, Patrick Robert	DOIID	374260	NAIC NPN	7202027

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	4/4/2000	3/8/2005
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	5/10/1999	4/4/2000
Active	Non Resident	Independent Adjuster	Property & Casualty	9/12/2023		7/31/2026

*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	Private Client Select Insurance Services, Llc 9961 Hart StSaint John, IN 463738976
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(847) 330-8915