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Park, Diane Hyun Ju

CPSO#: 90528

MEMBER STATUS
Expired: Resigned from membership as of 03 Aug 2021
EXPIRY DATE
30 Jul 2021
CPSO REGISTRATION CLASS
Independent Practice as of 24 Oct 2016

Summary

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Former Name: No Former Name

Gender: Female

Languages Spoken: English

Education:Schulich School of Medicine and Dentistr, 2009

Practice Information

Primary Location of Practice
Practice Address Not Available

Professional Corporation Information


Corporation Name: Chamberlain & Park Medicine Professional Corporation
Certificate of Authorization Status: Issued Date:  Jan 11 2017

Shareholders:
Dr. M. Chamberlain ( CPSO# 90485 )
Dr. D. Park ( CPSO# 90528 )

Business Address:
421 Greenbook Drive Unit 23B
Kitchener ON  N2M 4K1
Phone Number: 519-578-3510

Business Address:
K-W CardioPulmonary Services
430 The Boardwalk
Suite 206
Waterloo ON  N2T 0C1
Phone Number: (519) 741-5252

Business Address:
911 Queen's Boulevard
Kitchener ON  N2M 1B2
Phone Number: (519) 744-3311

Business Address:
St. Mary's General Hospital
Cardiac Rehabilitation Center
50 Bathurst Drive
Unit 1
Waterloo ON  N2V 2C5
Phone Number: (519) 885-9517

Specialties

Specialty Issued On Type
Family Medicine Effective:26 Jun 2012 CFPC Specialist

Postgraduate Training

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



Schulich School of Medicine and Dentistr, 01 Jul 2009 to 30 Jun 2010
PostGrad Yr 1 - Family Medicine

Schulich School of Medicine and Dentistr, 01 Jul 2010 to 30 Jun 2011
PostGrad Yr 2 - Family Medicine

Schulich School of Medicine and Dentistr, 01 Jul 2011 to 30 Jun 2012
PostGrad Yr 2 - Family Medicine

Registration History

Action Issue Date
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2009
Expired: Terms and conditions of certificate of registration Expiry: 30 Jun 2012
Subsequent certificate of registration Issued: Independent Practice Certificate Effective: 24 Oct 2016
Expired: Resigned from membership. Expiry: 03 Aug 2021