Missouri
Lafayette
Lexington
General Lines Agent
active
1474562
Old TDI license number: 12525344
New TDI license number: 1474562
License type: GL
License qualifications: PC
Old TDI license number: 12525344
New TDI license number: 1484003
License type: SL
Report date: 06/05/2013
License issue date: 11/12/2007
Report date: 06/05/2013
License issue date: 01/18/2008
Licence numbers:
General Lines Agent: 1474562
Surplus Lines Agent: 1484003
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Profile ID: FRUS-INS-P-18648