California
Los Angeles
Canoga Park
Surplus Lines Agent
active
1281535
Old TDI license number: 11229798
New TDI license number: 1281535
License type: SL
Old TDI license number: 11229798
New TDI license number: 1223537
License type: GL
License qualifications: LAH
Report date: 06/05/2013
License issue date: 07/02/2004
Report date: 06/05/2013
License issue date: 04/17/2003
Licence numbers:
Surplus Lines Agent: 1281535
General Lines Agent: 1223537
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Profile ID: FRUS-INS-P-8216