New York
Nassau
New Hyde Park
General Lines Agent
active
1698393
Old TDI license number: 13681166
New TDI license number: 1698393
License type: GL
License qualifications: PC
Old TDI license number: 13681166
New TDI license number: 1719846
License type: SL
Report date: 06/05/2013
License issue date: 07/25/2011
Report date: 06/05/2013
License issue date: 11/09/2011
Licence numbers:
General Lines Agent: 1698393
Surplus Lines Agent: 1719846
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Profile ID: FRUS-INS-P-38508