Minnesota
Otter Tail
Fergus Falls
General Lines Agent
active
1049191
Old TDI license number: 9011603
New TDI license number: 1049191
License type: GL
License qualifications: LAH
Report date: 06/05/2013
License issue date: 06/20/1996
No affiliations
No associations
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Profile ID: FRUS-INS-P-227772