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	004572	JONATHAN D SWINEY 		206 CHEROKEE ST			KINGSPORT	TN	37660	0000				04/19/2026	02/19/2026	GT		ravenmockertattoo@gmail.com