Louisiana
Caddo
Keithville
General Lines Agent
active
1679147
Old TDI license number: 13578236
New TDI license number: 1679147
License type: GL
License qualifications: LAH
Report date: 06/05/2013
License issue date: 03/31/2011
No affiliations
No associations
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Profile ID: FRUS-INS-P-12714