| Certificate Number | 15415 | ||
| Class | Inactive | From March 01, 2021 | |
| Class History | Full | From October 01, 2016 | |
| Grandparented | From September 30, 2016 | ||
| Status | Resigned | From March 01, 2021 | |
| Status History | In good standing | From September 30, 2016 | |
| Restrictions/Disciplines | No | ||
| First Name | Lara |
| Middle Name | Dawn |
| Last Name | Rodin |
| Alternate Name |
| Professional Body Name | Country | Region |
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