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Blacklock, Elaine Gloria

CPSO#: 52886

MEMBER STATUS

Active Member as of 16 Mar 1994

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 16 Mar 1994

Summary

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Former Name: No Former Name

Gender: Female

Languages Spoken: English

Education: Schulich School of Medicine and Dentistr, 1983

Practice Information

Primary Location of Practice

Practice Address Not Available

Professional Corporation Information

Corporation Name: Dr. Elaine Blacklock Medicine Professional Corporation
Certificate of Authorization Status: Inactive: Jan 8 2022

Corporation Name: Dr. Elaine Blacklock Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Oct 04 2023

Shareholders:
Dr. E. Blacklock ( CPSO# 52886 )

Business Address:
16 Aspenwood Crt
Sudbury ON P3E 5V9
Phone Number: 7056655889

Medical Records Location

Instructions/Address:

1-888-563-3732 Ext. 1
RSRS
111 St. Regis Cres S
North York, ON
M3J 1Y6

Date Received: 18 Nov 2020

Hospital Privileges

Hospital	Location
Health Sciences North	Sudbury
Timmins and District Hospital	Timmins
West Parry Sound Health Centre	Parry Sound

Specialties

Specialty	Issued On	Type
Pediatrics	Effective:13 Jun 1989	RCPSC Specialist

Terms and Conditions

(1) Dr. ELAINE GLORIA BLACKLOCK may practise only in the areas of medicine in which Dr. BLACKLOCK is educated and experienced.

Registration History

Action	Issue Date
First certificate of registration issued: Postgraduate Education Certificate	Effective: 15 Jun 1983
Expired: Terms and conditions of certificate of registration	Expiry: 15 Jun 1984
Subsequent certificate of registration Issued: Independent Practice Certificate	Effective: 16 Mar 1994