California
Contra Costa
Lafayette
General Lines Agent
active
1366184
Old TDI license number: 12040416
New TDI license number: 1366184
License type: GL
License qualifications: PC
Old TDI license number: 12040416
New TDI license number: 1384396
License type: SL
Report date: 06/05/2013
License issue date: 01/04/2006
Report date: 06/05/2013
License issue date: 04/27/2006
Licence numbers:
General Lines Agent: 1366184
Surplus Lines Agent: 1384396
No affiliations
No associations
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Profile ID: FRUS-INS-P-159333