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	63	000350	TA-LYNN N SOREL 		2150 BOND ST UNIT 103			CHARLOTTESVILLE	VA	22901	0000				06/23/2025	03/25/2025	ETP		talynnsorel001@gmail.com