Michigan
Kalamazoo
Portage
General Lines Agent
active
1480526
Old TDI license number: 12547086
New TDI license number: 1480526
License type: GL
License qualifications: PC
Old TDI license number: 12547086
New TDI license number: 1574089
License type: SL
Report date: 06/05/2013
License issue date: 12/21/2007
Report date: 06/05/2013
License issue date: 06/18/2009
Licence numbers:
General Lines Agent: 1480526
Surplus Lines Agent: 1574089
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Profile ID: FRUS-INS-P-2775