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 00 018016 TAYLOR M DOOLEY 474 MIRACLE LN BLUE RIDGE VA 24064 0000 11/25/2025 08/27/2025 CTP tayy.dooley@gmail.com 12 00 018013 TIARA N SELBY 34 GOODWARD RD NORTH CHESTERFIELD VA 23236 0000 11/12/2025 08/14/2025 CTP TIARANICOLEEE1@ICLOUD.COM 12 00 018014 OLIVIA G COMPTON 2050 EASOME RD HURT VA 24563 0000 11/25/2025 08/27/2025 CTP oliviacompton60@gmail.com 12 00 018015 KARA E COMFORT 7110 RICHMOND RD AMELIA COURT HOUSE VA 23002 0000 11/25/2025 08/27/2025 CTP karacomfort@icloud.com 12 00 018017 MEGAN B THOMAS 102 SOUTHAMPTON DR VINTON VA 24179 0000 11/25/2025 08/27/2025 CTP 10megant@gmail.com 12 00 018018 HALEIGH R CHAPMAN 256 AMBERLY RD VIRGINIA BEACH VA 23462 0000 12/03/2025 09/04/2025 CTP haleighchapman@yahoo.com 12 00 018019 GEORGINA L OSBORNE 1770 CONNORS RUN SALEM VA 24153 0000 12/09/2025 09/10/2025 CTP hairbyginao@gmail.com 12 00 018021 SYLVIA COLLEY 700 FRIENDSHIP WAY APT 303 CULPEPER VA 22701 0000 12/24/2025 09/25/2025 CTP colleysylvia0@gmail.com 12 00 018023 FLOWER J HARPINE 7126 PORCH SWING LN DAYTON VA 22821 0000 12/29/2025 09/30/2025 CTP nfloridaima@yahoo.com