Texas
Dallas
Grand Prairie
General Lines Agent
active
794190
Old TDI license number: 5892970
New TDI license number: 794190
License type: GL
License qualifications: LAH
Old TDI license number: 5892970
New TDI license number: 1267075
License type: ISR
License qualifications: ISR
Report date: 06/05/2013
License issue date: 03/15/1985
Report date: 06/05/2013
License issue date: 03/11/2004
Licence numbers:
General Lines Agent: 794190
Insurance Service Representative: 1267075
No affiliations
No associations
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Profile ID: FRUS-INS-P-257521