| Certificate Number | 15404 | ||
| Class | Inactive | From April 01, 2020 | |
| Class History | Full | From September 14, 2016 | |
| Grandparented | From September 13, 2016 | ||
| Status | Resigned | From March 16, 2021 | |
| Status History | In good standing | From September 13, 2016 | |
| Restrictions/Disciplines | No | ||
| First Name | Pauline |
| Middle Name | Vedarose |
| Last Name | Lysander Palmer |
| Alternate Name |
| Professional Body Name | Country | Region |
|---|---|---|
| College of Physiotherapists of Ontario | Canada | Ontario |
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