black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

TERESA MARIE PETIT DE MANGE

PRODUCER NON-RESIDENT

License Number:
PRN340615
Status:
First Licensure:
10/09/2019
Cancel Date:
None

Mailing:
BOSTON, MA 02110
Phone:
+1 (413) 313-1704
Fax:
+1 (619) 699-2122
Email:
teresa.petitdemange@alliant.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/09/2019

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
10/28/2019 PCF640
AMTRUST INSURANCE COMPANY
09/20/2022 PCF260762
FEDERAL INSURANCE COMPANY
10/28/2019 PCF439
SECURITY NATIONAL INSURANCE COMPANY
09/20/2022 PCF189490
SEQUOIA INSURANCE COMPANY
09/20/2022 PCF128467
TECHNOLOGY INSURANCE COMPANY INC
09/20/2022 PCF136874
WESCO INSURANCE COMPANY
09/20/2022 PCF49735

Authority

Description Issue Date Termination Date Status
CASUALTY 10/09/2019 Active
PERSONAL LINES 10/09/2019 Active
PROPERTY 10/09/2019 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
5406445

Other Addresses

Address Type
BOSTON, MA 02110
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: 06/18/2025 08:31:38 AM