black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

LISA MARIE AMBRUSON

PRODUCER NON-RESIDENT

License Number:
PRN396891
Status:
First Licensure:
09/23/2021
Cancel Date:
None

Mailing:
WARREN, MA 01083
Phone:
+1 (413) 436-5107
Fax:
+1 (413) 436-7175
Email:
lisa.ambruson@coloniallifesales.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/23/2021

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY
11/05/2021 LHF100

Authority

Description Issue Date Termination Date Status
HEALTH 09/23/2021 Active
LIFE 09/23/2021 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8651517

Other Addresses

Address Type
957 REED ST
WEST WARREN, MA 01092-5053
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: 03/25/2026 05:06:22 AM