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 12 33 004913 DOROTHY D CLARK 5804 RED OCTOPUS DR SUNDERLAND MD 20689 0000 10/25/2026 08/07/2026 GT duffyfortnertattoos@gmail.com 12 33 004799 JOSHUA M HAWKINS 6807-C MOUNTAINDALE RD FREDERICK MD 21702 0000 11/15/2026 06/26/2026 GT jhawkins43A@gmail.com 12 33 004904 TIMOTHY M BARNES 6 SERVICE CENTER RD NORTHAMPTON MA 01060 0000 10/25/2026 08/10/2026 GT niteowltattoomass@gmail.com 12 33 004901 PAMELA C CARVALHO 49 WEST AVE DANSVILLE NY 14437 0000 10/25/2026 08/27/2026 GT pamelacarvalho@wildisleytattoo.com 12 33 004912 MATTHEW M HELMER 7510 23RD AVE DR W BRADENTON FL 34209 0000 10/25/2026 08/07/2026 GT matthelmer999@gmail.com 12 33 004926 CRISTOBAL J VALLE 1108 MAIN ST STURGIS SD 57785 0000 11/15/2026 09/09/2026 GT ostc22@yahoo.com 12 33 004820 SINDI J CIFUENTES 10177 CRESTVIEW DR FREDERICK MD 21702 0000 10/04/2026 07/09/2026 GT tattoosbysinderella@gmail.com 12 33 004910 STEPHEN T FAWLEY JR 422 RIDGE PIKE LAFAYETTE HILL PA 19444 0000 10/25/2026 08/26/2026 GT sdotfawley@gmail.com 12 33 004888 RICHARD P MONTGOMERY 6-20 128 ST COLLEGE POINT NY 11356 0000 11/15/2026 08/19/2026 GT LITAT2@AOL.COM 12 33 004923 CONNOR M SHIFFERT 40 BIRCH MILL LN BARTO PA 19504 0000 10/25/2026 09/08/2026 GT CSTAPPTS@GMAIL.COM 12 33 004931 LEONARDO O LOMBARDO 5790 SW 2ND TER MIAMI FL 33144 0000 11/15/2026 09/10/2026 GT contact@rootandreason.com 12 33 004928 KOHEN T MEYERS 316 W GREER ST B DURHAM NC 27701 0000 11/15/2026 09/10/2026 GT kohenmeyers@gmail.com 12 33 004907 KATE L MATTHEWS 2213 S HARRISON ST FORT WAYNE IN 46802 0000 10/25/2026 08/19/2026 GT kfctattoo@gmail.com 12 33 004891 TREVOR W BURTZ 337 AVENIDA ADOBE SAN CLEMENTE CA 92672 0000 10/25/2026 08/27/2026 GT t_burtz@yahoo.com 12 33 004920 ANGEL A QUILES 1732 HIGH AVE WILLOW GROVE PA 19090 0000 11/15/2026 08/18/2026 GT quilestattooer@gmail.com 12 33 004847 TYLER R STOHL 15 SANDY POND CT SAVANNAH GA 31419 0000 11/15/2026 07/16/2026 GT tyler.ray.tat2@gmail.com 12 33 004802 ROBERT J FRANCIS 515 CREEK FARM DR PARKTON NC 28371 0000 11/15/2026 07/15/2026 GT presidenthopemillsshrineclub@gmail.com 12 33 004909 AUDREY E BOWEN 493 8TH AVE N APT 4 SAINT PETERSBURG FL 33701 0000 10/25/2026 08/19/2026 GT oddtats@gmail.com 12 33 004890 LAUREN C MONFORTE 490 FARMINGTON AVE POTTSTOWN PA 19464 0000 10/25/2026 08/27/2026 GT laurenmonfortetattoos@gmail.com 12 33 004921 JADE C NAPIER 302 VERNER DR GREENVILLE SC 29617 0000 10/25/2026 08/31/2026 GT jadenapiertattoos@gmail.com 12 33 004826 CHRISTOPHER S KEATON 1534 EASTERN AVE BALTIMORE MD 21231 0000 11/15/2026 07/16/2026 GT bmoremuseum@gmail.com 12 33 004699 IAN X LAMBERTH 727 MILAN RD E CHARLOTTE NC 28216 0000 06/21/2028 05/26/2026 GT 12 33 004805 KAIA CANDELARIA 4016 N MISSISSIPPI AVE PORTLAND OR 97227 0000 10/04/2026 08/06/2026 GT yokaia.tattoo13@gmail.com 12 33 004814 KENNEDY A NOVELLA 1050 TENER ST APT 3 JOHNSTOWN PA 15904 0000 10/04/2026 07/14/2026 GT kennedynovella@outlook.com 12 33 004827 IDA M SLAUGHTER 1534 EASTERN AVE BALTIMORE MD 21231 0000 11/15/2026 07/16/2026 GT bmoremuseum@gmail.com 12 33 004828 DREW E MANLEY 1534 EASTERN AVE BALTIMORE MD 21231 0000 11/15/2026 07/13/2026 GT bmoremuseum@gmail.com 12 33 004859 JESSICA A MCHUGH 307 BROAD ST MILFORD PA 18337 0000 10/04/2026 08/06/2026 GT papateeth@yahoo.com 12 33 004895 KEVIN M BLEDSOE 2052 E 98TH PL THORNTON CO 80229 0000 10/25/2026 08/26/2026 GT bledninetails@gmail.com 12 33 004896 JAMES M D'ALESSIO 1012 HELENE PL RARITAN NJ 08869 0000 10/25/2026 08/13/2026 GT jimmy@demonartwork.com 12 33 004897 ALEJANDRO M BONILLA LUGO CALLE JACOBO MORALES UNIT 204 PONCE PR 00730 0000 10/25/2026 08/18/2026 GT bolugoart@gmail.com 12 33 004900 YULIIA BABYCH 3500 E PARMER LN UNIT 2307 AUSTIN TX 78754 0000 10/25/2026 08/27/2026 GT babichtattoo@gmail.com 12 33 004902 ANGEL A MORILLAS 953 W 18TH ST, APT A CHICAGO IL 60608 0000 10/25/2026 08/27/2026 GT angelantoniotattoos@gmail.com 12 33 004908 ALEXAN R DIFFEE 31 PARRY ST HUDSON FALLS NY 12839 0000 10/25/2026 08/26/2026 GT andromeda.tattooing@gmail.com 12 33 004911 NICO P FIGHONI 518 BARMEGAT AVE TOMS RIVER NJ 08753 0000 10/25/2026 08/13/2026 GT inkbynico@gmail.com 12 33 004914 SARAH X DURNO 302 E DYNASTY DR CARY NC 27513 0000 10/25/2026 08/21/2026 GT sarahdurnotattoos@gmail.com 12 33 004918 JAKE L CASSEVOY 33 ALLENCLAIR DR AMESBURY MA 01913 0000 11/15/2026 08/26/2026 GT jakelewistattoos@gmail.com 12 33 004924 DONALD K BOOS 10950 BROOKE DR SAN DIEGO CA 92126 0000 10/07/2026 08/31/2026 GT donald.k.boos@gmail.com 12 33 004925 JARRED W WEINSTEIN 2134 WASHINGTON ST WILMINGTON NC 28401 0000 11/15/2026 08/27/2026 GT weinsteintattoo@gmail.com 12 33 004929 NIKITA SHOSHENSKY 24-39 38TH ST UNIT 6B ASTORIA NY 11103 0000 11/15/2026 09/11/2026 GT mrnikitatattoo@gmail.com