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 010927 SEANGLENG SRUN 6196 POND GRASS RD MECHANICSVILLE VA 23111 0000 05/31/2024 07/03/2023 NTP alexkem823@gmail.com 12 10 010960 HOAI S PHAM 125 CHERRY HILL CIR WINCHESTER VA 22602 0000 05/04/2024 03/21/2024 NTP TANSAMMY11@GMAIL.COM 12 10 010961 MADISON C STEPHENS 1384 SWECKER TOWN RD BARREN SPRINGS VA 24313 0000 05/09/2024 03/26/2024 NTP MADISONSTEPHENSS15@GMAIL.COM 12 10 010962 NATALIE S TORRES 8108 TIMBERLAKE ROAD 104 LYNCHBURG VA 24502 0000 05/16/2024 04/02/2024 NTP NST2177@EMAIL.VCCS.EDU 12 10 010963 MIA L RONDEAU 1818 LESLIE LN RICHMOND VA 23228 0000 06/13/2024 04/18/2024 NTP miarondeau04@gmail.com