New York
Suffolk
Bay Shore
General Lines Agent
active
1391176
Old TDI license number: 12158339
New TDI license number: 1391176
License type: GL
License qualifications: PC
Old TDI license number: 12158339
New TDI license number: 1635057
License type: SL
Report date: 06/05/2013
License issue date: 06/02/2006
Report date: 06/05/2013
License issue date: 07/22/2010
Licence numbers:
General Lines Agent: 1391176
Surplus Lines Agent: 1635057
No affiliations
No associations
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Profile ID: FRUS-INS-P-185079