California
Los Angeles
Glendale
General Lines Agent
active
1405542
Old TDI license number: 12213593
New TDI license number: 1405542
License type: GL
License qualifications: PC
Old TDI license number: 12213593
New TDI license number: 1467728
License type: SL
Report date: 06/05/2013
License issue date: 08/21/2006
Report date: 06/05/2013
License issue date: 09/28/2007
Licence numbers:
General Lines Agent: 1405542
Surplus Lines Agent: 1467728
No affiliations
No associations
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Profile ID: FRUS-INS-P-292518