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 33 41 001834 TONY MIDENCE PO BOX 28652 HENRICO VA 23228 0000 07/31/2024 03/27/2024 ILAS tony@bergmanbrothers.com 33 41 001835 JEFFORY N RANDOLPH JR 1076 SANDBRIDGE RD VIRGINIA BEACH VA 23456 0000 09/30/2024 05/01/2024 ILAS dogstar8llc@icloud.com