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Fortin, Dalilah

CPSO#: 79367

MEMBER STATUS

Active Member as of 01 Jul 2003

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 21 Jul 2005

Summary

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Former Name: No Former Name

Gender: Female

Languages Spoken: English, French

Education: Université Laval Faculté de Médecine, 1998

Practice Information

Primary Location of Practice

LHSC Victoria Campus
Div of Crit Care & Thoracic Surgery
Suite E2 120
800 Commissioners Road East
London ON N6A 5W9
Phone: (519) 685-8777
Fax: (519) 685-8778 Electoral District: 02

Professional Corporation Information

Corporation Name: Dr. Dalilah Fortin Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Jul 28 2008

Shareholders:
Dr. D. Fortin ( CPSO# 79367 )

Business Address:
Victoria Hospital
Room E2-120
800 Commissioners Road East
London ON N6A 5W9
Phone Number: (519) 685-8777

Hospital Privileges

Hospital	Location
London Health Sciences Centre	London
London Health Sciences Centre Victoria Hospital	London
St Joseph's Health Care, London	London

Specialties

Specialty	Issued On	Type
General Surgery	Effective:30 Jun 2003	RCPSC Specialist
Thoracic Surgery	Effective:30 Jun 2005	RCPSC Specialist

Terms and Conditions

(1) Dr. DALILAH FORTIN may practise only in the areas of medicine in which Dr. FORTIN 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 2003 to 30 Jun 2004
PostGrad Yr 6 - Thoracic Surgery

Schulich School of Medicine and Dentistr, 01 Jul 2004 to 30 Jun 2005
PostGrad Yr 7 - Thoracic Surgery

Schulich School of Medicine and Dentistr, 01 Jul 2005 to 30 Jun 2006
PostGrad Yr 8 - Thoracic Surgery

Registration History

Action	Issue Date
First certificate of registration issued: Postgraduate Education Certificate	Effective: 01 Jul 2003
Transfer of class of registration to: Independent Practice Certificate	Effective: 21 Jul 2005