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	000327	OLGA M COLON 		744 ARBUCKLE ST			CHESAPEAKE	VA	23323	0000				05/24/2024	04/10/2024	ETP		olgatolentinore@gmail.com
12	63	000329	MONG  BUI 		10755 FAIRGROUNDS DR			FAIRFAX	VA	22030	0000				06/10/2024	04/24/2024	ETP		book@yourbestskin.studio
12	63	000328	MORGAN G ELLINGER 		210 HERMITAGE RD			STAUNTON	VA	24401	0000				06/07/2024	04/17/2024	ETP		morganellinger@gmail.com
12	63	000330	DESTINEE N HOWELL 		6408 BLOSSOM VIEW LN			HENRICO	VA	23231	0000				06/08/2024	04/25/2024	ETP		HOWELLDN3@GMAIL.COM
12	63	000331	JIYEA  PARK 		25383 WAKESTONE PARK TER			CHANTILLY	VA	20152	0000				06/09/2024	04/26/2024	ETP		JENPARK76@GMAIL.COM