Massachusetts
Suffolk
Charlestown
Surplus Lines Agent
active
1801182
Old TDI license number: 14051583
New TDI license number: 1801182
License type: SL
Old TDI license number: 14051583
New TDI license number: 1799620
License type: GL
License qualifications: PC
Report date: 06/05/2013
License issue date: 11/30/2012
Report date: 06/05/2013
License issue date: 11/19/2012
Licence numbers:
Surplus Lines Agent: 1801182
General Lines Agent: 1799620
No affiliations
No associations
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Profile ID: FRUS-INS-P-81885