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 41 05 006252 TAUREAN J EDWARDS 219 E. BROAD ST #409 RICHMOND VA 23219 0000 12/31/2025 11/22/2024 WRSL DOITFITNESSLLC@GMAIL.COM 41 05 006257 ALBERT W BENJAMIN 4211 OGLETHORPE ST APT 101 HYATTSVILLE MD 20781 0000 12/31/2025 12/06/2024 WRSL 41 05 005935 ANDREW D KIM 4830 GARDEN VIEW LANE CHANTILLY VA 20151 0000 12/31/2025 12/11/2024 WRSL V.DREWKIM@GMAIL.COM 41 05 006263 JOSEPH F LIM 4532 TANEY AVE APT 203 ALEXANDRIA VA 22304 0000 12/31/2025 01/16/2025 WRSL filipinojoe2076@outlook.com 41 05 006253 JAMES A VALENTINE 221 MEDLOCK LANE ALEXANDRIA VA 22304 0000 12/31/2025 12/11/2024 WRSL MERRYPRANKSTER11@GMAIL.COM 41 05 006254 RUBEN R RIVAS 213 BUNNING DRIVE GOLDSBORO NC 27530 0000 12/31/2025 12/11/2024 WRSL BONSAIJIUJITSUACADEMY@GMAIL.COM 41 05 006255 MARK BENAVIDES 211 BUNNING DRIVE GOLDSBORO NC 27530 0000 12/31/2025 12/11/2024 WRSL 41 05 006256 GUNNOR WILLINGHAM 1400 STATESBORO PLACE CIR. STATESBORO GA 30458 0000 12/31/2025 12/06/2024 WRSL gunnarw13a@gmail.com 41 05 006258 ANDRE MONROE 12127 OPEN VIEW LN. LARGO MD 20774 0000 12/31/2025 12/18/2024 WRSL amonroe9314@gmail.com 41 05 006259 SEVEREN M GODWIN 201A FRANKLIN ST. HARRINGTON DE 19952 0000 12/31/2025 12/18/2024 WRSL michaelgodwin619@yahoo.com 41 05 006260 LOUIS J AMABIL 15055 PEPERBOX RD. DELMAR DE 19940 0000 12/31/2025 12/18/2024 WRSL lamabili3@gmail.com 41 05 006261 GREGG WHITE 4534 RABBIT RUN RD. BRIDGEVILLE DE 19933 0000 12/31/2025 12/18/2024 WRSL greggwhite86@gmail.com 41 05 006262 KONNER W KRAESZIG 4000 WILSON BLVD. ARLINGTON VA 22203 0000 12/31/2025 12/18/2024 WRSL kwkraeszig@gmail.com