| Application | SA/15/00121/LAPRS |
| Licence | SA/15/00121/LAPRS |
| Type | Personal Licence |
| Status | Licence Revoked |
| Decision | Licence Granted under delegated powers |
| Decision date | 22/05/2015 |
| Issued date | 22/05/2015 |
| Expiry date | 22/05/2025 |
| Licence holder | Gina Louise Van Ulzen |
| Previous name | |
| Endorsement start date | |
| Endorsement end date |
