Minnesota
Hennepin
Eden Prairie
General Lines Agent
active
1042495
Old TDI license number: 8503933
New TDI license number: 1042495
License type: GL
License qualifications: LAH
Report date: 06/05/2013
License issue date: 04/20/1995
No affiliations
No associations
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Profile ID: FRUS-INS-P-143772