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 23 001039 JEREMY D CARPER 1997 EDWIN MILLER BLVD MARTINSBURG WV 25404 0000 12/31/2026 01/05/2026 MATA JEREMYCARPER@ROCKETMAIL.COM 41 23 001047 BRIAN M THOMAS 15474 MOUNTAIN TRACK RD ORANGE VA 22960 0000 12/31/2026 04/01/2026 MATA rocketcombatsports@gmail.com 41 23 001034 ROBERT G SHERMER 529 CHESAPEAKE BEACH RD REEDVILLE VA 22539 0000 12/31/2026 12/12/2025 MATA rgsbjj7@gmail.com 41 23 001055 LIAM PANERO 12503 ARDENNER AVE. APT. 317 ROCKVILLE MD 20852 0000 12/31/2026 03/28/2026 MATA liampanero@gmail.com 41 23 001056 KYLE L WRIGHT 2601 REAGAN AVE. APT. 201 VIRGINIA BEACH VA 23454 0000 12/31/2026 03/28/2026 MATA KYLEWRIGHT2146@YAHOO.COM 41 23 001046 DAKOTA W MATTHEWS 526 BRUNSWICK ST. BRUNSWICK MD 21716 0000 12/31/2026 03/19/2026 MATA CMATTHEWS97612@HOTMAIL.COM 41 23 001062 ELVIN G ROMERO 2401 SHERBOURNE RD RICHMOND VA 23237 0000 12/31/2026 05/29/2026 MATA ELVIN871@YAHOO.COM 41 23 001051 MICHAEL D PHILIP 928 THOUSAND OAK DR VIRGINIA BEACH VA 23454 0000 12/31/2026 03/28/2026 MATA MICHAELPHILIPS125@GMAIL.COM 41 23 001042 LUCAS MARTINO 7908 TOWERBELL CT. ANNANDALE VA 22003 0000 12/31/2026 02/27/2026 MATA luke1707@gmail.com 41 23 001044 DALE L REED JR 115 BEDDS ST. MILTON DE 19968 0000 12/31/2026 02/27/2026 MATA DJrReed@icloud.com 41 23 001054 JAMES STROUT 2319 LIGHTWOOD BRIDGE RD. WALLACE NC 28466 0000 12/31/2026 03/28/2026 MATA alphaomegaman4@gmail.com 41 23 001061 ROBERT C CUTRELL IV 1280 N BURINSHI CIRCLE WEST POINT VA 23181 0000 12/31/2026 05/29/2026 MATA ROBBIECUTRELL@GMAIL.COM 41 23 001058 JAMES M HUFFMAN 1740 SOUTH DOGWOOD DR APT F HARRISONBURG VA 22801 0000 12/31/2026 04/09/2026 MATA mmafighterjmh@gmail.com 41 23 001059 NOAH B STEWART 7566 GOLDEN CREEK LN SHENANDOAH VA 22849 0000 12/31/2026 04/09/2026 MATA gotimemma96@gmail.com 41 23 001053 DANIEL N KEEPERS 4248 SPENCER ST. APT. 312 LAS VEGAS NV 89119 0000 12/31/2026 03/28/2026 MATA danwiththevocals@gmail.com 41 23 001035 JOSEPH PERNAL 716 11TH CT SW VERO BEACH FL 32962 0000 12/31/2026 12/12/2025 MATA BROFRIENDSINC@OUTLOOOK.COM 41 23 001036 JEVONTEA D YARBROUGH 3104 GARDEN HILLS LP RICHMOND HILL GA 31324 0000 12/31/2026 12/12/2025 MATA jevonteayarbrough@gmail.com 41 23 001037 JAMIE C DUEITT 1201 SAVAN DR. SEMMES AL 36575 0000 12/31/2026 12/12/2025 MATA jamiecduiett@gmail.com 41 23 001038 KALIK O BATTLE 7901 UNION RD. HAHIRA GA 31632 0000 12/31/2026 12/12/2025 MATA ko95battle@gmail.com 41 23 001040 SANDRO BATSIASHVILI 231 68TH ST. BROOKLYN NY 11220 0000 12/31/2026 12/19/2025 MATA Bblashkhia@gmail.com 41 23 001041 MICHAEL L DELOZIER 5112 SHADY GROVE LN. CHARLOTTE NC 28217 0000 12/31/2026 02/27/2026 MATA mdtrackstar48@gmail.com 41 23 001043 KAELOB ALGER 21 E FREDERICK ST. WILLIAMSPORT MD 21795 0000 12/31/2026 02/27/2026 MATA killerkzkzs@gmail.com 41 23 001045 WINDSON R DA'SILVA 209 SAWYER CIRCLE APT. 521 CHARLESTON SC 29492 0000 12/31/2026 03/19/2026 MATA WINDSONRAMOSMMA@GMAIL.COM 41 23 001050 TREVOR S SMITH 12207 DAHLGREN RD. KING GEORGE VA 22485 0000 12/31/2026 03/28/2026 MATA littletrey1995@gmail.com 41 23 001048 VICTOR D TAVARES 14 LOCKWOOD DR. CHARLESTON SC 29401 0000 12/31/2026 03/28/2026 MATA vvictorsantoss@hotmail.com 41 23 001049 EMERSON B QUINTANILHA FRANCO 3 SAWGRASS RD. APT. D11 CHARLESTON SC 29412 0000 12/31/2026 03/28/2026 MATA brunomuaythai@icloud.com 41 23 001052 TYLER KAISER 3375 FELTON ST. SAN DIEGO CA 92104 0000 12/31/2026 03/28/2026 MATA tkais16@icloud.com 41 23 001057 TIMOTHY M WEHR 4721 HOLLADAY DR VIRGINIA BEACH VA 23455 0000 12/31/2026 04/06/2026 MATA h2tim88@gmail.com