Search → DAVID MICHAEL FORKER

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
      DAVID MICHAEL FORKER
PRODUCER NON-RESIDENT
License Number:
          PRN224687
        Status:
          First Licensure:
          11/01/2013
        Cancel Date:
          None
        Mailing:
          AMARILLO, TX 79109
         Phone:
          +1 (614) 677-2321
         Fax:
          +1 (614) 417-9470
         Email:
          forkerd1@nationwide.com
        | License Type | Start Date | End Date | 
|---|---|---|
| PRODUCER NON-RESIDENT | 11/01/2013 | 
| Name | Issue Date | License Number | Expiration Date | Cancel Date | 
|---|---|---|---|---|
| NATIONWIDE SALES SOLUTIONS, INC | 05/17/2017 | AGN126911 | 
| Name | Issue Date | License Number | Expiration Date | Cancel Date | 
|---|---|---|---|---|
| ALLIED INSURANCE COMPANY OF AMERICA | 01/01/2020 | PCF216138 | ||
| NATIONWIDE ASSURANCE COMPANY | 11/04/2013 | PCF38952 | ||
| NATIONWIDE GENERAL INSURANCE COMPANY | 08/28/2018 | PCF30 | ||
| NATIONWIDE INSURANCE COMPANY OF AMERICA | 01/01/2020 | PCF422 | ||
| NATIONWIDE MUTUAL FIRE INSURANCE COMPANY | 02/07/2014 | PCF31 | 01/01/2023 | |
| NATIONWIDE MUTUAL INSURANCE COMPANY | 09/19/2016 | PCF32 | ||
| NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY | 11/04/2013 | PCF151089 | ||
| TITAN INDEMNITY COMPANY | 11/04/2013 | PCF38950 | 10/06/2018 | 
| Description | Issue Date | Termination Date | Status | 
|---|---|---|---|
| CASUALTY | 11/01/2013 | Active | |
| PROPERTY | 11/01/2013 | Active | 
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
          National Producer Number (NPN):
          8485943
        | Address | Type | 
|---|---|
| 1 NATIONWIDE PLZ COLUMBUS, OH 43215-2226 | Office | 
An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.
		Date: 10/31/2025 12:43:19 AM
	
					 
				