California
Orange
Newport Beach
General Lines Agent
active
1474951
Old TDI license number: 12526434
New TDI license number: 1474951
License type: GL
License qualifications: LAH
Old TDI license number: 12526434
New TDI license number: 1492092
License type: SL
Report date: 06/05/2013
License issue date: 11/13/2007
Report date: 06/05/2013
License issue date: 03/06/2008
Licence numbers:
General Lines Agent: 1474951
Surplus Lines Agent: 1492092
No affiliations
No associations
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Profile ID: FRUS-INS-P-20911