Minnesota
Dakota
Lakeville
General Lines Agent
active
961186
Old TDI license number: 10413162
New TDI license number: 961186
License type: GL
License qualifications: PC
Old TDI license number: 10413162
New TDI license number: 1672008
License type: SL
Report date: 06/05/2013
License issue date: 07/01/1999
Report date: 06/05/2013
License issue date: 02/16/2011
Licence numbers:
General Lines Agent: 961186
Surplus Lines Agent: 1672008
No affiliations
No associations
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Profile ID: FRUS-INS-P-149095