Connecticut
Middlesex
Old Saybrook
General Lines Agent
active
985812
Old TDI license number: 10651674
New TDI license number: 985812
License type: GL
License qualifications: PC
Old TDI license number: 10651674
New TDI license number: 1299256
License type: SL
Report date: 06/05/2013
License issue date: 10/07/1999
Report date: 06/05/2013
License issue date: 11/17/2004
Licence numbers:
General Lines Agent: 985812
Surplus Lines Agent: 1299256
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Profile ID: FRUS-INS-P-121952