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Blake, Peter Gerard

CPSO#: 57949

MEMBER STATUS

Active Member as of 12 Jun 1992

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 12 Jun 1992

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education: National University of Ireland, 1980

Practice Information

Primary Location of Practice

London Health Sciences Centre
Division of Nephrology
Victoria Hospital
800 Commissioners Road East
London ON N6A 5W9
Phone: (519) 685-8326
Fax: (519) 685-8470 Electoral District: 02

Professional Corporation Information

Corporation Name: P.G. Blake Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Dec 01 2006

Shareholders:
Dr. P. Blake ( CPSO# 57949 )

Business Address:
No business address available

Hospital Privileges

Hospital	Location
Grey Bruce Health Services,Owen Sound	Owen Sound
London Health Sciences Centre	London
London Health Sciences Centre Victoria Hospital	London
Woodstock Hospital	Woodstock

Specialties

Specialty	Issued On	Type
Internal Medicine	Effective:13 Nov 1989	RCPSC Specialist
Nephrology	Effective:07 Sep 1990	RCPSC Specialist

Terms and Conditions

(1) Dr. PETER GERARD BLAKE may practise only in the areas of medicine in which Dr. BLAKE is educated and experienced.

Registration History

Action	Issue Date
First certificate of registration issued: Postgraduate Education Certificate	Effective: 16 Apr 1987
Expired: Terms and conditions of certificate of registration	Expiry: 30 Jun 1990
Subsequent certificate of registration Issued: Independent Practice Certificate	Effective: 12 Jun 1992