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 39 000012 TIEP V NGUYEN 16814 JENNWAY PL MOSELEY VA 23120 0000 06/30/2026 06/06/2007 TI hoang-tiep@hotmail.com 12 39 000008 HOANG A NGUYEN 9107 MEETZE ROAD WARRENTON VA 20187 0000 03/31/2025 03/29/2007 TI amourtattoo@yahoo.com 12 39 000032 NIKOLE D JOHNSON 395 GARRISONVILLE RD STE 103 STAFFORD VA 22554 0000 03/31/2026 03/15/2010 TI tattoo.studio@yahoo.com 12 39 000073 NATASHA L INDERBITZIN-LOVINGOOD 6400 B COMMERCE ST SPRINGFIELD VA 22150 0000 09/30/2025 09/22/2023 TI inkiadore@icloud.com 12 39 000025 LETITIA M STERLING 12255 WATER VIEW TRAIL CARROLLTON VA 23314 0000 10/31/2025 10/05/2007 TI letitiasterling@gmail.com 12 39 000017 KIEU-CHINH T PHAN 7708 ERIE ST ANNANDALE VA 22003 0000 09/30/2025 09/13/2007 TI 12 39 000044 YIREE HE 2860 AUGUSTA CIR VIRGINIA BEACH VA 23453 0000 11/30/2025 11/15/2017 TI yireehe@yahoo.com 12 39 000009 JAMES A WARSING JR 30 S MAIN ST HARRISONBURG VA 22801 0000 07/31/2025 07/18/2007 TI slipslidencrawl@yahoo.com 12 39 000037 KIM NGOC TORSIELLO 5316 DEFORD RD VIRGINIA BEACH VA 23455 0000 10/31/2025 10/03/2013 TI kimsu1974@yahoo.com 12 39 000038 LEIGH T ODOM 6804 ATMORE DR RICHMOND VA 23225 0000 09/30/2026 09/16/2014 TI leighodom13@gmail.com 12 39 000064 ANTONIO Q ALMAZAN JR 20441 VAN ZANDT PKWY SUFFOLK VA 23434 0000 05/31/2026 03/24/2022 TI inked365tattooing@gmail.com 12 39 000050 THUYDUNG A VO 4716 BERRYWOOD RD VIRGINIA BEACH VA 23453 0000 10/31/2026 02/28/2020 TI goodhands0708@gmail.com 12 39 000071 SALENN MEAS 2732 OAK VALLEY DR VIENNA VA 22181 0000 08/31/2025 08/25/2023 TI viennatattoos@gmail.com 12 39 000036 OANH P DANG 1713 HEPPLEWHITE MEWS VIRGINIA BEACH VA 23455 0000 11/30/2026 11/07/2012 TI oanhdangva@gmail.com 12 39 000076 ANTONIO M RANDRIANASOLO 944 S. WAKEFIELD ST 302 ARLINGTON VA 22204 0000 04/30/2026 04/17/2024 TI tattbyantonio@gmail.com 12 39 000066 MARKOS J JOHNSON 5110 OLGERS RD SUTHERLAND VA 23885 0000 10/31/2026 10/19/2022 TI kash4tatts@gmail.com 12 39 000057 WEN-HAO VAN 1609 HULL ST RICHMOND VA 23224 0000 04/30/2025 04/30/2021 TI williamvantattoos@gmail.com 12 39 000072 RICKY D BUTLER JR 10363 COURTHOUSE RD FREDERICKSBURG VA 22553 0000 12/31/2025 12/28/2023 TI losttribestattoos@gmail.com 12 39 000052 TYLER J BASS 4701 JEANNE ST APT 201 VIRGINIA BEACH VA 23462 0000 11/30/2026 07/01/2020 TI jux7tattoo@gmail.com 12 39 000060 ERIC W MAY 800 ROUND BAY ROAD NORFOLK VA 23502 0000 07/31/2025 07/15/2021 TI iamericmay@yahoo.com