black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MARISSA GRAY

PRODUCER NON-RESIDENT

License Number:
PRN527361
Status:
First Licensure:
09/16/2025
Cancel Date:
None

Mailing:
DUBOIS, PA 15801
Phone:
+1 (814) 771-5786
Email:
graymarissa11@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/16/2025

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS
09/16/2025 LHF306110
CONTINENTAL AMERICAN INSURANCE COMPANY
09/16/2025 LHF80843

Authority

Description Issue Date Termination Date Status
HEALTH 09/16/2025 Active
LIFE 09/16/2025 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
21570451

Other Addresses

Address Type
DUBOIS, PA 15801
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: 05/29/2026 10:24:40 PM