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Providence, Briana Danielle

CPSO#: 105119

MEMBER STATUS

Active Member as of 24 Oct 2014

CURRENT OR PAST CPSO REGISTRATION CLASS

Restricted as of 24 Oct 2014

Summary

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Former Name: No Former Name

Gender: Female

Languages Spoken: English

Education: Saba University School of Medicine, 2007

Practice Information

Primary Location of Practice

Dresden Community Healthcare Centre
P O Box 479
530 Tecumseh Street
Dresden ON N0P 1M0
Phone: (519) 683-4479
Fax: (519)683-2763 Electoral District: 01

Professional Corporation Information

Corporation Name: Briana Danielle Providence Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Jan 02 2015

Shareholders:
Dr. B. Providence ( CPSO# 105119)

Business Address:
Chatham-Kent Family Health Team
530 Tecumseh Street
Dresden ON N0P 1M0
Phone Number: (519) 683-4479

Hospital Privileges

Hospital	Location
Chatham-Kent Health Alliance	Chatham
Erie Shores HealthCare	Leamington

Specialties

Specialty	Issued On	Type
Family Medicine	Effective:24 Oct 2014	CPSO Recognized Specialist

Registration History

Action	Issue Date
First certificate of registration issued: Restricted certificate	Effective: 24 Oct 2014
Terms and conditions imposed on certificate by Registration Committee	Effective: 24 Oct 2014
Expiry date attached to certificate of registration.	Expiry Date: 23 Apr 2016
Terms and conditions amended by Registration Committee	Effective: 16 Apr 2015
Terms and conditions amended by Registration Committee	Effective: 24 Mar 2016

Practice Restrictions

Imposed By	Effective Date	Expiry Date	Status
Registration Committee	Effective: 24 Mar 2016		Active

 Dr.  Briana  Danielle  Providence  may practise medicine independently in
                  family medicine.