Texas
Tarrant
Fort Worth
General Lines Agent
active
1304165
Old TDI license number: 11752033
New TDI license number: 1304165
License type: GL
License qualifications: PC
Old TDI license number: 11752033
New TDI license number: 1566320
License type: MGA
License qualifications: MGAPC
Old TDI license number: 11752033
New TDI license number: 1566321
License type: SL
Report date: 06/05/2013
License issue date: 12/28/2004
Report date: 06/05/2013
License issue date: 05/01/2009
Report date: 06/05/2013
License issue date: 05/01/2009
Licence numbers:
General Lines Agent: 1304165
Surplus Lines Agent: 1566321
No affiliations
No associations
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Profile ID: FRUS-INS-P-236474