black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

FORREST L. SMITH

PRODUCER NON-RESIDENT

License Number:
PRN390401
Status:
First Licensure:
08/04/2021
Cancel Date:
None

Mailing:
EVANSTON, WY 82930
Phone:
+1 (307) 288-1061
Fax:
+1 (307) 789-1319
Email:
woody.smith@hubinternational.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/04/2021

Agency

Name Issue Date License Number Expiration Date Cancel Date
HUB INTERNATIONAL MOUNTAIN STATES LIMITED
12/10/2024 AGN150484

Employer

Name Issue Date License Number Expiration Date Cancel Date
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
05/02/2024 PCF151937
NATIONWIDE MUTUAL INSURANCE COMPANY
05/02/2024 PCF32

Authority

Description Issue Date Termination Date Status
CASUALTY 08/04/2021 Active
HEALTH 08/04/2021 Active
LIFE 08/04/2021 Active
PROPERTY 08/04/2021 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3383387

Other Addresses

Address Type
728 MAIN ST
EVANSTON, WY 82930-3572
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: 06/27/2025 11:28:52 PM