black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

LORI WITHEROW

PRODUCER RESIDENT

License Number:
PRR389647
Status:
First Licensure:
07/29/2021
Cancel Date:
None
Renewal Date:
08/31/2026

Continuing Education:
Required by 08/31/2026
Hours Required:
Ethics:
3
Total Required:
24
Hours Acquired:
Ethics:
0
Total Acquired:
0

Mailing:
WINDHAM, ME 04062
Phone:
+1 (207) 893-2733
Email:
lori@northatlanticins.com

History

License Type Start Date End Date
PRODUCER RESIDENT 07/29/2021 08/31/2026

Agency

Name Issue Date License Number Expiration Date Cancel Date
NORTH ATLANTIC INSURANCE ASSOCIATES
07/29/2021 AGR45682 03/01/2025

Employer

Name Issue Date License Number Expiration Date Cancel Date
BRISTOL WEST INSURANCE COMPANY
10/03/2022 PCF78370
COMMERCE INSURANCE COMPANY (THE)
10/27/2022 PCF53427
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
10/03/2022 PCF445
INTEGON NATIONAL INSURANCE COMPANY
01/17/2025 PCF310
MAIN STREET AMERICA ASSURANCE COMPANY
07/10/2025 PCF997
MIDVALE INDEMNITY COMPANY
07/10/2025 PCF79410
NGM INSURANCE COMPANY
07/10/2025 PCF86

Authority

Description Issue Date Termination Date Status
CASUALTY 07/29/2021 Active
PROPERTY 07/29/2021 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20007072

Other Addresses

Address Type
744 ROOSEVELT TRL STE 203
WINDHAM, ME 04062-5281
Office

CE Courses

None.

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: 10/26/2025 05:21:22 PM