New York
Suffolk
Smithtown
General Lines Agent
active
1415976
Old TDI license number: 12253576
New TDI license number: 1415976
License type: GL
License qualifications: PC
Old TDI license number: 12253576
New TDI license number: 1458735
License type: SL
Report date: 06/05/2013
License issue date: 10/19/2006
Report date: 06/05/2013
License issue date: 08/03/2007
Licence numbers:
General Lines Agent: 1415976
Surplus Lines Agent: 1458735
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Profile ID: FRUS-INS-P-209977