California
Los Angeles
Los Angeles
General Lines Agent
active
1302749
Old TDI license number: 11304167
New TDI license number: 1302749
License type: GL
License qualifications: PC
Old TDI license number: 11304167
New TDI license number: 1317325
License type: SL
Report date: 06/05/2013
License issue date: 12/14/2004
Report date: 06/05/2013
License issue date: 04/13/2005
Licence numbers:
General Lines Agent: 1302749
Surplus Lines Agent: 1317325
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Profile ID: FRUS-INS-P-112835