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 017987 SAMANTHA M CIMA 210 DRIFTWOOD DRIVE CHESAPEAKE VA 23320 0000 05/28/2025 02/27/2025 CTP sam.cima1@gmail.com 12 00 017983 GENAVIEVE E DAY-MILLER 3665 SANDPIPER RD LOT 115 VIRGINIA BEACH VA 23456 0000 05/12/2025 02/11/2025 CTP genadaymiller@gmail.com 12 00 017984 SHANNON A ROARK 1075 FEATHER PL HARDY VA 24101 0000 05/12/2025 02/11/2025 CTP shannonaroark326@gmail.com 12 00 017985 JAY-AR GANNABAN 1604 ESTES RD CHESAPEAKE VA 23320 0000 05/19/2025 02/18/2025 CTP gannaban.jayar@yahoo.com 12 00 017988 LAKYN M BAYNE 204 GOODS LN ARODA VA 22709 0000 06/02/2025 03/04/2025 CTP lakynmarie03@icloud.com 12 00 017989 AMRAROSE M POWELL 8333 LITTLE ENGLAND RD HAYES VA 23072 0000 06/04/2025 03/06/2025 CTP arpm1827@gmail.com 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 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