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 00 017991 MACKENZIE L GIBSON 24087 WELLS ST ELLISTON VA 24087 0000 06/18/2025 03/20/2025 CTP mackenzielane32@gmail.com 12 00 017992 GORDON R PULLEN JR 1930 COTTON TAIL DR CULPEPER VA 22701 0000 06/18/2025 03/20/2025 CTP grfpullen75@gmail.com 12 00 017997 BRIASIA O BOOKER 811 HARDY DRIVE APT E CHARLOTTESVILLE VA 22903 0000 06/30/2025 04/17/2025 CTP briasiabooker01@gmail.com 12 00 017993 CECILIANNY VENTURA 5302 HUNT MASTER DR APT B MIDLOTHIAN VA 23112 0000 08/17/2025 05/19/2025 CTP ceciliannyv@gmail.com 12 00 017994 PATRY S TINEO DE JESUS 1416 OAKHURST LN APT 4 RICHMOND VA 23225 0000 07/13/2025 04/14/2025 CTP patrysailis24@gmail.com 12 00 017995 YAJANNY E SOTA ENCARMACION 1523 OAKHURST LN RICHMOND VA 23225 0000 07/09/2025 04/10/2025 CTP yojanny532@gmail.com 12 00 017996 MANUELA A CRUZ-MENDOZA 6616 ELK RD RICHMOND VA 23224 0000 07/13/2025 04/14/2025 CTP daneisycruz0192@gmail.com 12 00 017998 HAVEN E BRENNAN 3 WINDY WAY PALMYRA VA 22963 0000 07/21/2025 04/22/2025 CTP havenebrennan@yahoo.com 12 00 018001 HUMAINA I ZEESHAN 43493 GOLDEN MEADOW CIR ASHBURN VA 20147 0000 08/06/2025 05/08/2025 CTP humaina.zeeshan123@gmail.com 12 00 018002 FRANCIA PLACENCIO-CANELO 9101 PATTERSON AVE APT 10 HENRICO VA 23229 0000 08/17/2025 05/19/2025 CTP franciaplacencio@icloud.com 12 00 018003 ERIN LORENZ 4665 SHALLOWFORD CIR VIRGINIA BEACH VA 23462 0000 08/17/2025 05/19/2025 CTP erinlorenz11@yahoo.com 12 00 018004 KEEYAH A BROWN-MACK 1236 PLEASANT VIEW AVE NW ROANOKE VA 24012 0000 08/17/2025 05/19/2025 CTP geekey21@gmail.com 12 00 018005 JESSICA N CHAMP 152 FINDLEY SQ HAMPTON VA 23666 0000 08/21/2025 05/23/2025 CTP jessicamchamp@gmail.com