| Certificate Number | 15350 | ||
| Class | Inactive | From April 01, 2019 | |
| Class History | Full | From June 24, 2016 | |
| Grandparented | From June 23, 2016 | ||
| Status | Administrative suspension | From December 01, 2022 | |
| Status History | In good standing | From June 23, 2016 | |
| Restrictions/Disciplines | No | ||
| First Name | Mary |
| Middle Name | |
| Last Name | Grace |
| Alternate Name |
| Professional Body Name | Country | Region |
|---|---|---|
| CHC | United States | California |
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