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 10 011047 VAN LAN NGUYEN 3604 SHORELINE DR PORTSMOUTH VA 23703 0000 05/11/2026 02/09/2026 NTL nguyenvanlan69@yahoo.com 12 10 011048 MARISSA B SMITH 525 SCALEHOUSE LN GALAX VA 24333 0000 05/10/2026 02/09/2026 NTL marissaa.brooke98@gmail.com 12 10 011049 QUOC QUYNH N NGUYEN 996 BRIARCLIFFE DR COLONIAL HEIGHTS VA 23834 0000 05/28/2026 02/27/2026 NTL 12 10 011050 THI ANH HONG TANG 207 COMSTOCK DR COLONIAL HEIGHTS VA 23834 0000 06/03/2026 03/05/2026 NTL ANHHONGPBC@GMAIL.COM 12 10 011051 KYLIE A WIEHE 413 FREMONT CT BERRYVILLE VA 22611 0000 06/04/2026 03/06/2026 NTL kwiehe1@gmail.com 12 10 011052 EMELIA SECCO 14 CHRISTOPHER LN STERLING VA 20165 0000 06/04/2026 03/06/2026 NTL esecco.20@gmail.com 12 10 011053 THI T NGUYEN 207 COMSTOCK DR COLONIAL HEIGHTS VA 23834 0000 06/07/2026 03/09/2026 NTL tangcaosoi@gmail.com 12 10 011055 CARLA S KNOX 6304 HAMPTON BLVD APT A NORFOLK VA 23508 0000 08/04/2026 05/06/2026 NTL coco55@myyahoo.com 12 10 011056 FEROZA DARYABI 2484 RESERVOIR ST APT G HARRISONBURG VA 22801 0000 08/11/2026 05/13/2026 NTL fdaryabi5@gmail.com 12 10 011057 NINA AZIMI 1027 CHICAGO AVE APT 6B HARRISONBURG VA 22802 0000 08/11/2026 05/13/2026 NTL azimimina60@gmail.com