DEPARTMENT OF INSURANCE
Licensee Search Details
NameBlack, Mary Jo DOIID1119753NAIC NPN6824538
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
InactiveNon ResidentAgentCasualty2/8/202110/2/2023  
InactiveNon ResidentAgentProperty2/8/202110/2/2023  
*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.
No License Renewal Information
NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.
Address Information
TypeAddress
ResidenceNot Public Information
Business / Home Office3500 Packerland Dr De Pere, WI 541159034
Phone Information
TypePhone
Business / Home Office(920) 330-5100

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