Minnesota
Hennepin
Eden Prairie
General Lines Agent
active
1006899
Old TDI license number: 5969254
New TDI license number: 1006899
License type: GL
License qualifications: PC
Old TDI license number: 5969254
New TDI license number: 1756356
License type: SL
Report date: 06/05/2013
License issue date: 07/01/1999
Report date: 06/05/2013
License issue date: 04/06/2012
Licence numbers:
General Lines Agent: 1006899
Surplus Lines Agent: 1756356
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Profile ID: FRUS-INS-P-6390