Michigan
Kent
Grand Rapids
Surplus Lines Agent
active
1411781
Old TDI license number: 11611515
New TDI license number: 1411781
License type: SL
Old TDI license number: 11611515
New TDI license number: 1269636
License type: GL
License qualifications: PC
Report date: 06/05/2013
License issue date: 09/26/2006
Report date: 06/05/2013
License issue date: 03/31/2004
Licence numbers:
Surplus Lines Agent: 1411781
General Lines Agent: 1269636
No affiliations
No associations
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Profile ID: FRUS-INS-P-240978