New York
Suffolk
Huntington
Surplus Lines Agent
active
1558025
Old TDI license number: 11412299
New TDI license number: 1558025
License type: SL
Old TDI license number: 11412299
New TDI license number: 1553802
License type: GL
License qualifications: PC
Old TDI license number: 11412299
New TDI license number: 1782323
License type: AJ
License qualifications: AJPC
Report date: 06/05/2013
License issue date: 03/18/2009
Report date: 06/05/2013
License issue date: 02/24/2009
Report date: 06/05/2013
License issue date: 08/22/2012
Licence numbers:
Surplus Lines Agent: 1558025
Insurance Adjuster: 1782323
No affiliations
No associations
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Profile ID: FRUS-INS-P-50103