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DiNicolo, Lisa Sandra

CPSO#: 80864

MEMBER STATUS

Active Member as of 01 Jul 2004

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 21 Aug 2006

Summary

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Former Name: No Former Name

Gender: Female

Languages Spoken: English

Education: University of Ottawa, 2004

Practice Information

Primary Location of Practice

Grand River Hospital, Freeport Site
3570 King St E
Kitchener, ON
N2A 2W1
Kitchener ON N2A 2W1
Phone: (519) 749-4300 Electoral District: 03

Professional Corporation Information

Corporation Name: Lisa DiNicolo Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Feb 22 2011

Shareholders:
Dr. L. DiNicolo ( CPSO# 80864 )

Business Address:
3570 King Street East
Kitchener ON N2A 2W1
Phone Number: (519) 749-4300

Hospital Privileges

Hospital	Location
Grand River Hospital Corporation,Freeport Site	Kitchener

Specialties

Specialty	Issued On	Type
Family Medicine	Effective:19 Jun 2006	CFPC Specialist
Family Medicine (Emergency Medicine)	Effective:26 Oct 2007	CFPC Specialist

Terms and Conditions

(1) Dr. LISA SANDRA DINICOLO may practise only in the areas of medicine in which Dr. DINICOLO is educated and experienced.

Postgraduate Training

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

University of Toronto, 01 Jul 2004 to 30 Jun 2005
PostGrad Yr 1 - Family Medicine

University of Toronto, 01 Jul 2005 to 30 Jun 2006
PostGrad Yr 2 - Family Medicine

McMaster University, 01 Jul 2006 to 30 Jun 2007
PostGrad Yr 3 - Family Medicine (Emergency Medicine)

Registration History

Action	Issue Date
First certificate of registration issued: Postgraduate Education Certificate	Effective: 01 Jul 2004
Transfer of class of registration to: Independent Practice Certificate	Effective: 21 Aug 2006