Illinois
Jackson
Carbondale
General Lines Agent
active
1200888
Old TDI license number: 11260871
New TDI license number: 1200888
License type: GL
License qualifications: PC
Old TDI license number: 11260871
New TDI license number: 1298667
License type: SL
Report date: 06/05/2013
License issue date: 10/14/2002
Report date: 06/05/2013
License issue date: 11/12/2004
Licence numbers:
General Lines Agent: 1200888
Surplus Lines Agent: 1298667
No affiliations
No associations
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Profile ID: FRUS-INS-P-323927