Minnesota
Hennepin
Mound
Surplus Lines Agent
active
1128288
Old TDI license number: 6109443
New TDI license number: 1128288
License type: SL
Old TDI license number: 6109443
New TDI license number: 788240
License type: GL
License qualifications: PC
Report date: 06/05/2013
License issue date: 01/16/2002
Report date: 06/05/2013
License issue date: 07/01/1999
Licence numbers:
Surplus Lines Agent: 1128288
General Lines Agent: 788240
No affiliations
No associations
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Profile ID: FRUS-INS-P-284708