DEPARTMENT OF INSURANCE
Licensee Search Details
NameBlack, Kerrissa DOIID1468178NAIC NPN22226265
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
ActiveNon ResidentAgentLife6/21/2026 4/30/2029 
ActiveNon ResidentAgentHealth6/21/2026 4/30/2029 
*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
Business / Home Office73 Poorgrab Chestnut Ridge Road Petersburg, TN 37144
ResidenceNot Public Information
Internet Information
TypeAddress
Business EmailKerrissablack.agent@gmail.com
Phone Information
TypePhone
Business / Home Office(931) 639-2905

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