Regulatory Disclosure: Licensing & Authorities

Primary Resident Jurisdiction: Wyoming
License Type: Individual Resident Producer
Lines of Authority: Life; Accident and Health or Sickness
National Producer Number (NPN): 21582822
In accordance with state insurance codes and the Producer Licensing Model Act (PLMA), the following licensure information is provided for transparency and regulatory compliance. I am a licensed insurance producer authorized to solicit, negotiate, and sell insurance products in my resident state of Wyoming and the additional non-resident jurisdictions listed below.
Jurisdictions of Licensure
Alabama
Status: Non-Resident
License #: 30003664193
Lines of Authority: Life, Accident & Health or Sickness
California
Status: Non-Resident
License #: 4464919
Lines of Authority: Life, Accident & Health or Sickness
Florida
Status: Non-Resident
License #: G238013
Lines of Authority: Life, Accident & Health or Sickness
Georgia
Status: Non-Resident
License #: 3806300
Lines of Authority: Life, Accident & Health or Sickness
Michigan
Status: Non-Resident
License #: 1379959
Lines of Authority: Life, Accident & Health or Sickness
North Carolina
Status: Non-Resident
License #: 21582822
Lines of Authority: Life, Accident & Health or Sickness
Ohio
Status: Non-Resident
License #: 16585509
Lines of Authority: Life, Accident & Health or Sickness
South Carolina
Status: Non-Resident
License #: 21582822
Lines of Authority: Life, Accident & Health or Sickness
Texas
Status: Non-Resident
License #: 3334081
Lines of Authority: Life, Accident & Health or Sickness
Wyoming
Status: Resident
License #: 630093
Lines of Authority: Life, Accident & Health or Sickness

Last Updated on: 10 April 2026
