black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

TODD LEE CARPENTER

PRODUCER NON-RESIDENT

License Number:
PRN379218
Status:
First Licensure:
03/31/2021
Cancel Date:
None

Mailing:
AUBURNDALE, FL 33823
Phone:
+1 (321) 442-2947
Fax:
+1 (321) 442-2947
Email:
todd_carpenter@ajg.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/31/2021

Agency

Name Issue Date License Number Expiration Date Cancel Date
ARTHUR J GALLAGHER RISK MANAGEMENT SERVICES LLC
06/04/2026 AGN37963
HEALTH IQ INS SERVICES INC
09/23/2021 AGN252322 03/02/2023

Employer

Name Issue Date License Number Expiration Date Cancel Date
BRISTOL WEST INSURANCE COMPANY
04/20/2021 PCF78370 10/23/2024
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
04/20/2021 PCF445 10/23/2024
NATIONWIDE GENERAL INSURANCE COMPANY
05/18/2021 PCF30 11/02/2021
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
05/18/2021 PCF31 11/02/2021
NATIONWIDE MUTUAL INSURANCE COMPANY
05/18/2021 PCF32 11/02/2021
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
05/18/2021 PCF151089 11/02/2021

Authority

Description Issue Date Termination Date Status
CASUALTY 03/31/2021 Active
HEALTH 03/31/2021 Active
LIFE 03/31/2021 Active
PROPERTY 03/31/2021 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17845060

Other Addresses

Address Type
ARTHUR J GALLAGHER SERVICES COMPANY
4600 W CYPRESS ST STE AND405
TAMPA, FL 33607-4032
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: 06/18/2026 02:12:21 PM