New Jersey
Somerset
Franklin Park
General Lines Agent
active
1249629
Old TDI license number: 11503648
New TDI license number: 1249629
License type: GL
License qualifications: LAH
Old TDI license number: 11503648
New TDI license number: 1473884
License type: SL
Report date: 06/05/2013
License issue date: 10/20/2003
Report date: 06/05/2013
License issue date: 11/07/2007
Licence numbers:
General Lines Agent: 1249629
Surplus Lines Agent: 1473884
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Profile ID: FRUS-INS-P-202477