California
Los Angeles
Santa Monica
Surplus Lines Agent
active
1547701
Old TDI license number: 12810355
New TDI license number: 1547701
License type: SL
Old TDI license number: 12810355
New TDI license number: 1537744
License type: GL
License qualifications: PC
Report date: 06/05/2013
License issue date: 01/21/2009
Report date: 06/05/2013
License issue date: 11/19/2008
Licence numbers:
Surplus Lines Agent: 1547701
General Lines Agent: 1537744
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Profile ID: FRUS-INS-P-116550