Wisconsin
Kenosha
Kenosha
General Lines Agent
active
1053925
Old TDI license number: 10198172
New TDI license number: 1053925
License type: GL
License qualifications: PC
Old TDI license number: 10198172
New TDI license number: 1553217
License type: AJ
License qualifications: AJPC
Report date: 06/05/2013
License issue date: 09/10/1997
Report date: 06/05/2013
License issue date: 02/20/2009
Licence numbers:
General Lines Agent: 1053925
Insurance Adjuster: 1553217
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Profile ID: FRUS-INS-P-164126