New York
Suffolk
Kings Park
Surplus Lines Agent
active
1718581
Old TDI license number: 13663783
New TDI license number: 1718581
License type: SL
Old TDI license number: 13663783
New TDI license number: 1694733
License type: GL
License qualifications: PC
Report date: 06/05/2013
License issue date: 11/02/2011
Report date: 06/05/2013
License issue date: 07/05/2011
Licence numbers:
Surplus Lines Agent: 1718581
General Lines Agent: 1694733
No affiliations
No associations
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Profile ID: FRUS-INS-P-133109