Indiana
Allen
Fort Wayne
General Lines Agent
active
957473
Old TDI license number: 10386132
New TDI license number: 957473
License type: GL
License qualifications: PC
Old TDI license number: 10386132
New TDI license number: 1487411
License type: SL
Report date: 06/05/2013
License issue date: 07/01/1999
Report date: 06/05/2013
License issue date: 02/07/2008
Licence numbers:
General Lines Agent: 957473
Surplus Lines Agent: 1487411
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Profile ID: FRUS-INS-P-96154