Illinois
DuPage
Hinsdale
Surplus Lines Agent
active
1299476
Old TDI license number: 11308654
New TDI license number: 1299476
License type: SL
Old TDI license number: 11308654
New TDI license number: 1208707
License type: GL
License qualifications: PC
Report date: 06/05/2013
License issue date: 11/18/2004
Report date: 06/05/2013
License issue date: 12/30/2002
Licence numbers:
Surplus Lines Agent: 1299476
General Lines Agent: 1208707
No affiliations
No associations
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Profile ID: FRUS-INS-P-151215