California
Los Angeles
Santa Monica
General Lines Agent
active
1232739
Old TDI license number: 11425708
New TDI license number: 1232739
License type: GL
License qualifications: PC
Old TDI license number: 11425708
New TDI license number: 1286665
License type: SL
Report date: 06/05/2013
License issue date: 06/25/2003
Report date: 06/05/2013
License issue date: 08/12/2004
Licence numbers:
General Lines Agent: 1232739
Surplus Lines Agent: 1286665
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Profile ID: FRUS-INS-P-199031