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 33 43 001159 GEORGE T SPAIN III 64 OAKWOOD DRIVE MINERAL VA 23117 0000 05/31/2025 12/23/2024 ILAR georgetspain@gmail.com 33 43 001161 ZHEN TIAN 4423 TURNBERRY DR FREDERICKSBURG VA 22408 0000 07/31/2025 02/07/2025 ILAR rtian@tianconstruction.com 33 43 001163 CHARLES S PLUMLEY 1201 N 37TH STREET RICHMOND VA 23223 0000 06/30/2025 03/14/2025 ILAR plumleycharles2@gmail.com 33 43 001160 SHANELLE L JOHNSON 2818 GRIFFIN AVENUE RICHMOND VA 23222 0000 05/31/2025 01/03/2025 ILAR thomas.shanelle@gmail.com 33 43 001162 KENNETH GORDON 28 SARAH JAYNE CT WAYNESBORO VA 22980 0000 04/30/2025 03/04/2025 ILAR kenneth.gordon@vdh.virginia.gov 33 43 001164 TIFFANY R WISE 1384 JENIFER ST NORFOLK VA 23503 0000 04/30/2025 04/17/2025 ILAR wisetiffy@gmail.com