New York
Queens
Bayside
General Lines Agent
active
900204
Old TDI license number: 8961886
New TDI license number: 900204
License type: GL
License qualifications: PC
Old TDI license number: 8961886
New TDI license number: 1783491
License type: SL
Report date: 06/05/2013
License issue date: 03/26/1996
Report date: 06/05/2013
License issue date: 08/29/2012
Licence numbers:
General Lines Agent: 900204
Surplus Lines Agent: 1783491
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Profile ID: FRUS-INS-P-103956