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Blake, Elizabeth Kathleen

CPSO#: 71529

MEMBER STATUS

Active Member as of 01 Jul 1997

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 29 Jun 1999

Summary

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Former Name: No Former Name

Gender: Female

Languages Spoken: English

Education: Queen's University, 1997

Practice Information

Primary Location of Practice

410 Lock Street West
Dunnville ON N1A 1V6
Phone: (905) 701-6643
Fax: (905) 701-6645 Electoral District: 04

Professional Corporation Information

Corporation Name: Elizabeth Blake Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Jan 09 2006

Shareholders:
Dr. E. Blake ( CPSO# 71529 )

Business Address:
410 Lock Street West
Dunnville ON N1A 1V6
Phone Number: (905) 701-6643

Hospital Privileges

Hospital	Location
Haldimand War Memorial Hospital	Dunnville

Specialties

Specialty	Issued On	Type
Family Medicine	Effective:09 Jun 1999	CFPC Specialist

Terms and Conditions

(1) Dr. ELIZABETH KATHLEEN BLAKE may practise only in the areas of medicine in which Dr. BLAKE is educated and experienced.

Postgraduate Training

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

McMaster University, 01 Jul 1997 to 30 Jun 1998
PostGrad Yr 1 - Family Medicine

McMaster University, 01 Jul 1998 to 30 Jun 1999
PostGrad Yr 2 - Family Medicine

Registration History

Action	Issue Date
First certificate of registration issued: Postgraduate Education Certificate	Effective: 01 Jul 1997
Transfer of class of registration to: Independent Practice Certificate	Effective: 29 Jun 1999