Wisconsin
Portage
Stevens Point
General Lines Agent
active
1728322
Old TDI license number: 13536483
New TDI license number: 1728322
License type: GL
License qualifications: PC
Old TDI license number: 13536483
New TDI license number: 1671553
License type: SP
License qualifications: TR
Report date: 06/05/2013
License issue date: 01/04/2012
Report date: 06/05/2013
License issue date: 02/15/2011
Licence numbers:
General Lines Agent: 1728322
Specialty Insurance Agent: 1671553
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Profile ID: FRUS-INS-P-289389