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 05 006151 BISHOP I WALKER 103 SEVEN PINES DRIVE LOCUST GROVE VA 22508 0000 12/31/2024 05/03/2024 WRSL WALKERBISHOP79@YAHOO.COM, 41 05 006144 DANIEL DEANDRADE 1005 CENTURY OAK DR FREDERICKSBURG VA 22401 0000 12/31/2024 04/17/2024 WRSL ANDREWSJODY@12@YAHOO.COM 41 05 006056 JOHNNIE S CRUMPLER 3906 SAXBY LN. NW WILSON NC 27896 0000 12/31/2024 01/05/2024 WRSL SCRUMPLER2@GMAIL.COM 41 05 006058 JOHN E ASH 12002 N ARTHUR ASHE BLVD. RICHMOND VA 23230 0000 12/31/2024 01/05/2024 WRSL eric@vintageboxinggym.com 41 05 006132 DARYL E KLUTTZ 2214 COTTON DR. 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