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Wickett, Robert Graham

CPSO#: 82333

MEMBER STATUS

Active Member as of 26 Apr 2005

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 26 Apr 2005

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education: Schulich School of Medicine and Dentistr, 1999

Practice Information

Primary Location of Practice

Grand River Hospital
Emergency Department
835 King Street West
Kitchener ON N2G 1G3
Phone: 5197494242 Electoral District: 03

Additional Practice Location(s)

St Mary's General Hospital
Emergency Department
911 Queens Boulevard
Kitchener ON N2M 1B2
Canada
County: Regional Municipality of Waterloo
Electoral District: 03

Professional Corporation Information

Corporation Name: Robert Wickett Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Aug 18 2008

Shareholders:
Dr. R. Wickett ( CPSO# 82333 )

Business Address:
No business address available

Hospital Privileges

Hospital	Location
Grand River Hospital Corporation	Kitchener
St Mary's General Hospital	Kitchener

Specialties

Specialty	Issued On	Type
Family Medicine	Effective:28 Nov 2001	CFPC Specialist
Family Medicine (Emergency Medicine)	Effective:01 Dec 2002	CFPC Specialist

Terms and Conditions

(1) Dr. ROBERT GRAHAM WICKETT may practise only in the areas of medicine in which Dr. WICKETT is educated and experienced.

Registration History

Action	Issue Date
First certificate of registration issued: Independent Practice Certificate	Effective: 26 Apr 2005