Florida
Hillsborough
Tampa
General Lines Agent
active
1270416
Old TDI license number: 11615179
New TDI license number: 1270416
License type: GL
License qualifications: PC
Old TDI license number: 11615179
New TDI license number: 1394432
License type: SL
Report date: 06/05/2013
License issue date: 04/07/2004
Report date: 06/05/2013
License issue date: 06/21/2006
Licence numbers:
General Lines Agent: 1270416
Surplus Lines Agent: 1394432
No affiliations
No associations
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Profile ID: FRUS-INS-P-124084