Connecticut
New Haven
Madison
General Lines Agent
active
1288456
Old TDI license number: 11688290
New TDI license number: 1288456
License type: GL
License qualifications: PC
Old TDI license number: 11688290
New TDI license number: 1341622
License type: SL
Report date: 06/05/2013
License issue date: 08/26/2004
Report date: 06/05/2013
License issue date: 08/08/2005
Licence numbers:
General Lines Agent: 1288456
Surplus Lines Agent: 1341622
No affiliations
No associations
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Profile ID: FRUS-INS-P-73341