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Sheppard, Miranda Elizabeth

CPSO#: 86419

MEMBER STATUS
Active Member as of 01 Jul 2007
CURRENT OR PAST CPSO REGISTRATION CLASS
Independent Practice as of 22 Jul 2009

Summary

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Former Name: No Former Name

Gender: Female

Languages Spoken: English

Education: University of Ottawa, 2007

Practice Information

Primary Location of Practice
3-59 King St W
North Lambton Community Health Cent
Forest ON  N0N 1J0
Phone: 519-786-4545
Fax: 519-786-3023 Electoral District: 01

Additional Practice Location(s)

1051 Wonderland Road South
Wonderland South Medical Centre
London ON  N6K 3X4
Canada
Phone: 519-472-2060
Fax: 519-471-7299
County: County of Middlesex
Electoral District: 02

Professional Corporation Information


Corporation Name: Miranda Sheppard Medicine Professional Corporation
Certificate of Authorization Status: Issued Date:  Jan 26 2011

Shareholders:
Dr. M. Sheppard ( CPSO# 86419 )

Business Address:
3-59 King St W
Forest ON  N0N 1J0
Phone Number: 519-786-4545

Hospital Privileges

Hospital Location
London Health Sciences Centre London
London Health Sciences Centre Victoria Hospital London
St Joseph's Health Care, London London

Specialties

Specialty Issued On Type
Family Medicine Effective:21 Jul 2009 CFPC Specialist

Terms and Conditions

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

Postgraduate Training

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



Schulich School of Medicine and Dentistr, 01 Jul 2007 to 30 Jun 2008
PostGrad Yr 1 - Family Medicine

Schulich School of Medicine and Dentistr, 01 Jul 2008 to 30 Jun 2009
PostGrad Yr 2 - Family Medicine

Schulich School of Medicine and Dentistr, 01 Jul 2009 to 31 Jul 2009
PostGrad Yr 2 - Family Medicine

Registration History

Action Issue Date
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2007
Transfer of class of registration to: Independent Practice Certificate Effective: 22 Jul 2009