| Certificate Number | 15463 | ||
| Class | Inactive | From April 01, 2022 | |
| Class History | Full | From December 17, 2016 | |
| Grandparented | From December 16, 2016 | ||
| Status | Resigned | From April 01, 2022 | |
| Status History | In good standing | From December 16, 2016 | |
| Restrictions/Disciplines | No | ||
| First Name | Liisl |
| Middle Name | Juanita Honorata |
| Last Name | Lopes |
| Alternate Name |
| Professional Body Name | Country | Region |
|---|
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