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	21	000152	GAVIN T PARDOE 		212 YARGER RD.			LEWISBURG	PA	17837	0000				08/23/2024	08/25/2023	TMPW