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Susanto, Aida Triana

CPSO#: 29414

MEMBER STATUS
Expired: Resigned from membership as of 18 Jun 2014
CPSO REGISTRATION CLASS
None as of 18 Jun 2014

Summary

Former Name: Cole, Aida Triana (used until: 29 May 2006 )

Gender: Female

Languages Spoken: English, Indonesian

Education:University of Toronto, 1976

Practice Information

Primary Location of Practice
Practice Address Not Available

Medical Records Location

Address: 18 Manitou Crescent West Amherstview, ON K7N 1S3
Date Received: 22 Apr 2014

Registration History

Action Issue Date
First certificate of registration issued: Independent Practice Certificate Effective: 14 Jul 1977
Expired: Resigned from membership. Expiry: 18 Jun 2014