Iowa
Polk
West Des Moines
General Lines Agent
active
1260806
Old TDI license number: 11564532
New TDI license number: 1260806
License type: GL
License qualifications: PC
Old TDI license number: 11564532
New TDI license number: 1813300
License type: MGA
License qualifications: MGAPC
Report date: 06/05/2013
License issue date: 01/21/2004
Report date: 06/05/2013
License issue date: 02/15/2013
Licence numbers:
General Lines Agent: 1260806
Managing General Agent: 1813300
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Profile ID: FRUS-INS-P-71841