Agenda - 12-13-2011 - 12c - Laserfiche WebLink

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8 Applicant I11teT~iSt L1St111g by Board Name and by Applicant Name Contact Person: Lisa Smith BOQrI~ Of HBQIt]Z Contact Phone: 919-245-2411 Dawn Brezina Dr Day Phone: 252-315-4650 Sex: Female . 2601 Red Hill Lane Evening Phone: .919-732-9030 Race: Caucasian Hillsborough NC 27278 FAX: y Township: Eno E-mail: dawnbrezina@gmail.com Date Applied: 10/28/2010 Skills: Physician Also Serves On: Orange County Boazd of Adjustment Ms. Wendy Calvin Day Phone: 919-630-1350 Sex: Female 623 William Hooper Circle Evening Phone: Race: Caucasian Hillsborough NC 27278 FAX: Township: Hillsborough E-mail: wcalvin@co.orange.nc.us Date Applied: 09/06/2011 Skills: Orange County Employee Also Serves On: Ms. Barbara Chavious Day Phone: 919-732-3469 Sex: Female 401 N Nash St Evening Phone: 919-732-3469 Race: Caucasian Hillsborough NC 27278 FAX: Township: Hillsborough E-mail: Barbaza_Chavious@unc.edu Date Applied: 06/16/2011 Skills: Public Health Also Serves On: MT. Corey DaV1S Day Phone: 919-968-6308 ~ Sex: Male 102 Barbee Court Evening Phone: Race: Caucasian Carrboro NC 27510 ~ FAX: Township: Chapel Hill E-mail: coreyd@gmail.com Date Applied: 09/06/2011 Skills: Attorney Also Serves On: Mr. Matthew Kelm Day Phone: 919-668-5398 Sex: Male 103 Lorilane Dr. Evening Phone: 919-357-4349 Race: Caucasian Cazrboro NC 27510 FAX: 919-681-8187 Township: Chapel Hill E-mail: matthew.kelm@duke.edu Date Applied: 04/22/2010 Skills: Phannacist .Also Serves On: Board of Health Mr. C1larleS MCMUIIen 108 Jones Avenue Day Phone: Evening Phone: 9197329083 Sex: 9192603879 Race: Male Caucasian Hillsborough NC 27278 FAX: Township: Hillsborough E-mail: cmcmullenl@nc.rr.com Date Applied: 02/10/2011 Skills: Nursing Profession Also Serves On: Adult Caze Home Community Advisory Committee Friday, December 02, 2011 Page 1 of 3