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Jansen, Lisa Elena

CPSO#: 70419

MEMBER STATUS

Active Member as of 01 Jul 1996

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 19 Jun 1998

Summary

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Former Name: Miceli, Lisa Elena (used until: 24 Jul 1996 )

Gender: Female

Languages Spoken: English

Education: Schulich School of Medicine and Dentistr, 1996

Practice Information

Primary Location of Practice

1100 University Ave W
Windsor ON N9A 5S7
Phone: 5192584142 Electoral District: 01

Additional Practice Location(s)

Suite 109
2462 Howard Avenue
Windsor ON N8X 3V6
Canada
Phone: (519) 258-7181
Fax: (519) 985-1084
County: County of Essex
Electoral District: 01

486 Front Street West
Toronto ON M5V 0V2
Canada
Phone: 647-925-6066
County: City of Toronto
Electoral District: 10

Professional Corporation Information

Corporation Name: Jansen Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Oct 01 2003

Shareholders:
Dr. L. Jansen ( CPSO# 70419 )

Business Address:
Building 400 - Suite 160
1720 Howard Avenue
Windsor ON N8X 5A6
Phone Number: (519) 258-4145

Hospital Privileges

Hospital	Location
Windsor Regional Hospital	Windsor

Specialties

Specialty	Issued On	Type
Family Medicine	Effective:04 Jun 1998	CFPC Specialist

Terms and Conditions

(1) Dr. LISA ELENA JANSEN may practise only in the areas of medicine in which Dr. JANSEN is educated and experienced.

Postgraduate Training

Please note: This information may not be a complete record of postgraduate training.

McMaster University, 01 Jul 1996 to 30 Jun 1997
PostGrad Yr 1 - Family Medicine

McMaster University, 01 Jul 1997 to 30 Jun 1998
PostGrad Yr 2 - Family Medicine

Registration History

Action	Issue Date
First certificate of registration issued: Postgraduate Education Certificate	Effective: 01 Jul 1996
Transfer of class of registration to: Independent Practice Certificate	Effective: 19 Jun 1998