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 13 01 091610 STEPHANIE J SMITH 3412 ROSEWOOD AVE RICHMOND VA 23221 0000 12/31/2026 04/22/2010 MBBI ajeen13@aol.com 13 01 094078 LEYLA L SANDINO 1202 CHASE HERITAGE CIR APT # 203 STERLING VA 20164 0000 02/28/2027 09/29/2022 MBBI leylasandino31@yahoo.com 13 01 092735 JOHN D SMITH 756 SEQUOIA WY VIRGINIA BEACH VA 23451 0000 01/31/2028 09/24/2015 MBBI smoovjay46.js@gmail.com 13 01 094529 CATELIN E SALAS 512 E MAIN ST PURCELLVILLE VA 20132 0000 08/31/2027 11/08/2024 MBBI CATELIN2016@HOTMAIL.COM