THE FOLLOWING INFORMATION WAS OBTAINED FROM THE PHYSICIAN REGISTER SECTION OF THE WEBSITE OF THE COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO (WWW.CPSO.ON.CA) AS OF THE DATE AND TIME NOTED BELOW
25/04/25 02:41:33 AM

General Information

Former Name: No Former Name
Medical School: Northern Ontario School of Medicine, 2014
Gender: Woman
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: Alexandra Family Physicians
29 Noxon Street Ingersoll, ON
Ingersoll Ontario N5C 1B8
Business Email: No Information Available
Phone: 519-425-9000
Fax: 519-485-9609

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 17 Jun 2016
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jun 17 2016
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
Alexandra Hospital Ingersoll
HOSPITAL: Alexandra Hospital
LOCATION: Ingersoll

Professional Corporation Information

Corporation Name: Dr. Amy Blake Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 12 Sep 2016
Shareholders:
Dr. A. Blake (CPSO#: 103507 )
Business Address: 29 Noxon Street
Ingersoll Ontario N5C 3V6 (519) 425-9000

General Information

Former Name: No Former Name
Gender: Woman
Languages Spoken: ENGLISH
Medical School: Northern Ontario School of Medicine, 2014

Practice Information

Primary Business Location: Alexandra Family Physicians
29 Noxon Street Ingersoll, ON
Ingersoll Ontario N5C 1B8
Business Email: No Information Available
Phone: 519-425-9000
Fax: 519-485-9609

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 17 Jun 2016
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jun 17 2016
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
Alexandra Hospital Ingersoll
HOSPITAL: Alexandra Hospital
LOCATION: Ingersoll

Professional Corporation Information

Corporation Name: Dr. Amy Blake Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 12 Sep 2016
Shareholders:
Dr. A. Blake (CPSO#: 103507 )
Business Address: 29 Noxon Street
Ingersoll Ontario N5C 3V6 (519) 425-9000

Practice Conditions

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(1) Dr. AMY MAY VIOLET BLAKE may practise only in the areas of medicine in which Dr. BLAKE is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. AMY MAY VIOLET BLAKE may practise only in the areas of medicine in which Dr. BLAKE is educated and experienced.

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Training

Medical School: Northern Ontario School of Medicine, 2014

Registration History

DETAILS DATE
Transfer of class of registration to: Independent Practice Certificate Effective: 22 Jun 2016
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2014
DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 22 Jun 2016
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 2014