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 63 000334 KARYSSA L MARLER 105 DONOMA CT SHAWBORO NC 27973 0000 07/19/2024 06/05/2024 ETP KARYSSA.MARLER05@GMAIL.COM 12 63 000335 DANIELLE C SMITH 2404 YOUNGMAN RD CHESAPEAKE VA 23323 0000 07/21/2024 06/07/2024 ETP SERIECT130@GMAIL.COM 12 63 000336 SERA JUNG 13673 BENT TREE CIR APT 403 CENTREVILLE VA 20121 0000 08/09/2024 06/26/2024 ETP TPFK0306@HOTMAIL.COM 12 63 000338 Z SARAHAN 45572 SILVER POND SQ APT 102 STERLING VA 20165 0000 08/29/2024 07/16/2024 ETP XZSARAHANX@GMAIL.COM