California
San Diego
Encinitas
General Lines Agent
active
1126131
Old TDI license number: 11081376
New TDI license number: 1126131
License type: GL
License qualifications: LAH
Report date: 06/05/2013
License issue date: 12/31/2001
No affiliations
No associations
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Profile ID: FRUS-INS-P-198356