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 03 002626 DEIDRE ALEEM 2910 4TH AVE RICHMOND VA 23222 0000 12/31/2025 02/03/2025 MNGR CHOSEN1IALEEM@GMAIL.COM