California
Orange
Newport Beach
General Lines Agent
active
1344438
Old TDI license number: 11957351
New TDI license number: 1344438
License type: GL
License qualifications: PC
Old TDI license number: 11957351
New TDI license number: 1692288
License type: SL
Report date: 06/05/2013
License issue date: 08/24/2005
Report date: 06/05/2013
License issue date: 06/21/2011
Licence numbers:
General Lines Agent: 1344438
Surplus Lines Agent: 1692288
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Profile ID: FRUS-INS-P-88079