New Jersey
Bergen
Franklin Lakes
Surplus Lines Agent
active
1174471
Old TDI license number: 10865579
New TDI license number: 1174471
License type: SL
Old TDI license number: 10865579
New TDI license number: 1072123
License type: GL
License qualifications: PC
Report date: 06/05/2013
License issue date: 04/05/2002
Report date: 06/05/2013
License issue date: 10/23/2000
Licence numbers:
Surplus Lines Agent: 1174471
General Lines Agent: 1072123
No affiliations
No associations
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Profile ID: FRUS-INS-P-128917