black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ANITA L. BLACK

PRODUCER RESIDENT

License Number:
PRR508771
Status:
First Licensure:
02/25/2025
Cancel Date:
None
Renewal Date:
10/31/2026

Continuing Education:
Required by 10/31/2026
Hours Required:
Ethics:
3
Total Required:
24
Hours Acquired:
Ethics:
0
Total Acquired:
0

Mailing:
BANGOR, ME 04402
Phone:
+1 (207) 947-7345
Email:
licensing@crossagency.com

History

License Type Start Date End Date
PRODUCER RESIDENT 02/25/2025 10/31/2026

Agency

Name Issue Date License Number Expiration Date Cancel Date
CROSS INSURANCE, INC. - MAINE
05/16/2025 AGR19087

Employer

None.

Authority

Description Issue Date Termination Date Status
CASUALTY 02/25/2025 Active
PROPERTY 02/25/2025 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
21489129

Other Addresses

Address Type
1201 BAR HARBOR RD
TRENTON, ME 04605-6020
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: 06/10/2025 05:33:55 PM