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Black, Denise Sylvia

CPSO#: 100161

MEMBER STATUS
Active Member as of 11 Mar 2015
CURRENT OR PAST CPSO REGISTRATION CLASS
Restricted as of 11 Mar 2015

Summary

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Former Name: No Former Name

Gender: Female

Languages Spoken: English

Education: University of Sint Eustatius, 2006

Practice Information

Primary Location of Practice
Bramalea Medical Centre
Suite 500A
18 Kensington Road
Brampton ON  L6T 4S5
Phone: (905) 497-7990 Electoral District: 05

Professional Corporation Information


Corporation Name: Denise Sylvia Black Medicine Professional Corporation
Certificate of Authorization Status: Issued Date:  Aug 13 2014

Shareholders:
Dr. D. Black ( CPSO# 100161)

Business Address:
Bramalea Medical Centre
Suite 500A
18 Kensington Road
Brampton ON  L6T 4S5
Phone Number: (905) 497-7990

Specialties

Specialty Issued On Type
Family Medicine Effective:10 May 2013 CPSO Recognized Specialist

Registration History

Action Issue Date
First certificate of registration issued: Restricted certificate Effective: 10 May 2013
Terms and conditions imposed on certificate by Registration Committee Effective: 10 May 2013
Expiry date attached to certificate of registration. Expiry Date: 09 Nov 2014
Terms and conditions amended by Registration Committee Effective: 16 Oct 2014
Expired: Terms and conditions imposed on certificate by Registration Committee Effective: 09 Feb 2015
Subsequent certificate of registration issued: Restricted certificate Effective: 11 Mar 2015
Terms and conditions amended by Registration Committee Effective: 16 Oct 2015

Practice Restrictions

Imposed By Effective Date Expiry Date Status
Registration Committee Effective: 16 Oct 2015 Active 
             Dr. Denise Sylvia Black may practise medicine independently in family medicine.