New York
Suffolk
Centerport
General Lines Agent
active
788241
Old TDI license number: 6109447
New TDI license number: 788241
License type: GL
License qualifications: PC
Old TDI license number: 6109447
New TDI license number: 1288317
License type: SL
Report date: 06/05/2013
License issue date: 01/15/1993
Report date: 06/05/2013
License issue date: 08/24/2004
Licence numbers:
General Lines Agent: 788241
Surplus Lines Agent: 1288317
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Profile ID: FRUS-INS-P-327919