New York
New York
New York City
General Lines Agent
active
1287679
Old TDI license number: 11684073
New TDI license number: 1287679
License type: GL
License qualifications: PC
Old TDI license number: 11684073
New TDI license number: 1365111
License type: SL
Report date: 06/05/2013
License issue date: 08/19/2004
Report date: 06/05/2013
License issue date: 12/27/2005
Licence numbers:
General Lines Agent: 1287679
Surplus Lines Agent: 1365111
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Profile ID: FRUS-INS-P-77230