black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DAVID FORTENBERRY

PRODUCER NON-RESIDENT

License Number:
PRN498044
Status:
First Licensure:
10/09/2024
Cancel Date:
None

Mailing:
PURVIS, MS 39475
Phone:
+1 (601) 554-7320
Email:
david_fortenberry@ajg.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/09/2024

Agency

Name Issue Date License Number Expiration Date Cancel Date
ARTHUR J GALLAGHER RISK MANAGEMENT SERVICES LLC
10/16/2024 AGN37963

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
08/19/2025 PCF145893
CITIZENS INSURANCE COMPANY OF AMERICA
08/19/2025 PCF937
THE HANOVER AMERICAN INSURANCE COMPANY
08/19/2025 PCF197298
THE HANOVER INSURANCE COMPANY
08/19/2025 PCF712
MASSACHUSETTS BAY INSURANCE COMPANY
08/19/2025 PCF505

Authority

Description Issue Date Termination Date Status
CASUALTY 10/09/2024 Active
HEALTH 10/09/2024 Active
LIFE 10/09/2024 Active
PROPERTY 10/09/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
6402122

Other Addresses

Address Type
J GALLAGHER SERVICES COMPANY
16 THOMPSON PARK
HATTIESBURG, MS 39401-8263
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: 12/13/2025 06:08:19 AM