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Roth, Lisa Rosanne

CPSO#: 73570

MEMBER STATUS

Active Member as of 01 Jul 1999

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 28 Jun 2001

Summary

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Former Name: No Former Name

Gender: Female

Languages Spoken: English

Education: University of Toronto, 1999

Practice Information

Primary Location of Practice

1201 Queen Street
Kincardine ON N2Z 3C1
Phone: (519) 396-6767
Fax: (866) 685-0058 Electoral District: 03

Professional Corporation Information

Corporation Name: Dr. Lisa Roth Medicine Professional Corporation
Certificate of Authorization Status: Inactive: Apr 12 2007

Corporation Name: Dr. Lisa Roth Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Nov 21 2007

Shareholders:
Dr. L. Roth ( CPSO# 73570 )

Business Address:
1201 Queen Street
Kincardine ON  N2Z 3C1
Phone Number: (519) 396-6767

Business Address:
1199 Queen Street
Kincardine ON  N2Z 1G6
Phone Number: (519) 396-3331

Business Address:
550 Philip Place
Kincardine ON  N2Z 3A6
Phone Number: (519) 396-4400

Hospital Privileges

Hospital	Location
South Bruce Grey Health Centre	Kincardine

Specialties

Specialty	Issued On	Type
Family Medicine	Effective:19 Jun 2001	CFPC Specialist

Terms and Conditions

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

Postgraduate Training

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

Schulich School of Medicine and Dentistr, 01 Jul 1999 to 30 Jun 2000
PostGrad Yr 1 - Family Medicine

Schulich School of Medicine and Dentistr, 01 Jul 2000 to 30 Jun 2001
PostGrad Yr 2 - Family Medicine

Registration History

Action	Issue Date
First certificate of registration issued: Postgraduate Education Certificate	Effective: 01 Jul 1999
Transfer of class of registration to: Independent Practice Certificate	Effective: 28 Jun 2001