Colorado
Jefferson
Denver
Surplus Lines Agent
active
1291953
Old TDI license number: 6096032
New TDI license number: 1291953
License type: SL
Old TDI license number: 6096032
New TDI license number: 747703
License type: GL
License qualifications: PC
Report date: 06/05/2013
License issue date: 09/22/2004
Report date: 06/05/2013
License issue date: 11/08/1984
Licence numbers:
Surplus Lines Agent: 1291953
General Lines Agent: 747703
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Profile ID: FRUS-INS-P-183298