| Certificate Number | 15423 | ||
| Class | Inactive | From April 01, 2022 | |
| Class History | Full | From October 07, 2016 | |
| Status | Resigned | From April 01, 2022 | |
| Status History | In good standing | From October 07, 2016 | |
| Restrictions/Disciplines | No | ||
| First Name | Nanette |
| Middle Name | |
| Last Name | Basic |
| Alternate Name | Azra Nanette |
| Former Names | Azra Nanette Basic |
| Azra Nanette Basic |
| Professional Body Name | Country | Region |
|---|---|---|
| OHMA | Canada | Ontario |
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