New York
Nassau
Uniondale
Surplus Lines Agent
active
1795824
Old TDI license number: 10433941
New TDI license number: 1795824
License type: SL
Old TDI license number: 10433941
New TDI license number: 1498924
License type: GL
License qualifications: PC
Report date: 06/05/2013
License issue date: 10/26/2012
Report date: 06/05/2013
License issue date: 04/17/2008
Licence numbers:
Surplus Lines Agent: 1795824
General Lines Agent: 1498924
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Profile ID: FRUS-INS-P-134398