Search → MARY JO BLACK
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
MARY JO BLACK
PRODUCER NON-RESIDENT
License Number:
PRN458966
Status:
First Licensure:
08/04/2023
Cancel Date:
None
Mailing:
CONWAY, SC 29526
Phone:
+1 (920) 330-5100
Fax:
+1 (920) 330-5124
Email:
maryjo.black@connectbyamfam.com
| License Type | Start Date | End Date |
|---|---|---|
| PRODUCER NON-RESIDENT | 08/04/2023 |
Agency
None.
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| BRISTOL WEST INSURANCE COMPANY |
10/04/2023 | PCF78370 | ||
| FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN |
10/04/2023 | PCF445 | ||
| HOMESITE INSURANCE COMPANY OF THE MIDWEST |
09/01/2023 | PCF116371 | ||
| MIDVALE INDEMNITY COMPANY |
09/01/2023 | PCF79410 | ||
| PROGRESSIVE NORTHERN INSURANCE COMPANY |
11/07/2023 | PCF51006 | ||
| PROGRESSIVE NORTHWESTERN INSURANCE COMPANY |
11/07/2023 | PCF27738 |
| Description | Issue Date | Termination Date | Status |
|---|---|---|---|
| CASUALTY | 08/04/2023 | Active | |
| PROPERTY | 08/04/2023 | Active |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN):
6824538
| Address | Type |
|---|---|
| 3500 PACKERLAND DR DE PERE, WI 54115-9034 |
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: 12/17/2025 01:20:32 PM
