New York
Nassau
Massapequa Park
General Lines Agent
active
1383800
Old TDI license number: 12129254
New TDI license number: 1383800
License type: GL
License qualifications: PC
Old TDI license number: 12129254
New TDI license number: 1420987
License type: SL
Report date: 06/05/2013
License issue date: 04/25/2006
Report date: 06/05/2013
License issue date: 11/17/2006
Licence numbers:
General Lines Agent: 1383800
Surplus Lines Agent: 1420987
No affiliations
No associations
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Profile ID: FRUS-INS-P-44054