California
Los Angeles
Los Angeles
General Lines Agent
active
1304246
Old TDI license number: 11424073
New TDI license number: 1304246
License type: GL
License qualifications: PC
Old TDI license number: 11424073
New TDI license number: 1308803
License type: SL
Report date: 06/05/2013
License issue date: 12/29/2004
Report date: 06/05/2013
License issue date: 02/09/2005
Licence numbers:
General Lines Agent: 1304246
Surplus Lines Agent: 1308803
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Profile ID: FRUS-INS-P-87431