BOARD OCCUPATION CERTIFICATE # INDIVIDUAL NAME BUSINESS NAME FIRST LINE ADDRESS SECOND LINE ADDRESS P O BOX # CITY STATE FIVE DIGIT ZIP CODE ZIP CODE EXTENSION PROVINCE COUNTRY POSTAL CODE EXPIRATION DATE CERTIFICATION DATE LICENSE RANK LICENSE SPECIALTY EMAILADDRESS 41 21 000152 GAVIN T PARDOE 212 YARGER RD. LEWISBURG PA 17837 0000 08/23/2024 08/25/2023 TMPW 41 21 000161 NICHOLAS R JOSEPH 2011 KENZIE DR PITTSBURGH PA 15205 0000 06/19/2024 05/17/2024 TMPW NICKJOE3450@GMAIL.COM