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 05:15:55 AM

General Information

Former Name: No Former Name
Medical School: University of the West Indies, 1989
Gender: Woman
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: Department of Medical Imaging
Grand River Hospital
P O Box 9056
835 King Street West
Kitchener Ontario N2G 1G3
Business Email: No Information Available
Phone: (519) 749-4300
Extension: 5912
Fax: (519) 749-4296
Address: 911 Queens Blvd
Kitchener ON N2M 1B2
Phone: 519-744-3311
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Diagnostic Radiology
Effective: 09 May 2006
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Diagnostic Radiology
ISSUED ON: Effective: May 09 2006
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

HOSPITAL LOCATION
Queensway Carleton Hospital Ottawa
Lakeridge Health Oshawa
Grand River Hospital Corporation Kitchener
St Mary's General Hospital Kitchener
HOSPITAL: Queensway Carleton Hospital
LOCATION: Ottawa

HOSPITAL: Lakeridge Health
LOCATION: Oshawa

HOSPITAL: Grand River Hospital Corporation
LOCATION: Kitchener

HOSPITAL: St Mary's General Hospital
LOCATION: Kitchener

Professional Corporation Information

Corporation Name: Eda Wallace Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 28 Jul 2006
Shareholders:
Dr. E. Wallace (CPSO#: 70911 )

General Information

Former Name: No Former Name
Gender: Woman
Languages Spoken: ENGLISH
Medical School: University of the West Indies, 1989

Practice Information

Primary Business Location: Department of Medical Imaging
Grand River Hospital
P O Box 9056
835 King Street West
Kitchener Ontario N2G 1G3
Business Email: No Information Available
Phone: (519) 749-4300
Extension: 5912
Fax: (519) 749-4296
Address: 911 Queens Blvd
Kitchener ON N2M 1B2
Phone: 519-744-3311
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Diagnostic Radiology
Effective: 09 May 2006
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Diagnostic Radiology
ISSUED ON: Effective: May 09 2006
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

HOSPITAL LOCATION
Queensway Carleton Hospital Ottawa
Lakeridge Health Oshawa
Grand River Hospital Corporation Kitchener
St Mary's General Hospital Kitchener
HOSPITAL: Queensway Carleton Hospital
LOCATION: Ottawa

HOSPITAL: Lakeridge Health
LOCATION: Oshawa

HOSPITAL: Grand River Hospital Corporation
LOCATION: Kitchener

HOSPITAL: St Mary's General Hospital
LOCATION: Kitchener

Professional Corporation Information

Corporation Name: Eda Wallace Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 28 Jul 2006
Shareholders:
Dr. E. Wallace (CPSO#: 70911 )

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. EDA JACQUELINE WALLACE may practise only in the areas of medicine in which Dr. WALLACE is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. EDA JACQUELINE WALLACE may practise only in the areas of medicine in which Dr. WALLACE 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: University of the West Indies, 1989

Registration History

DETAILS DATE
Subsequent certificate of registration issued: Independent Practice Certificate Effective: 31 Aug 2006
Expired: Terms and conditions imposed on certificate by Registration Committee Effective: 31 Aug 2006
Terms and conditions amended by Registration Committee. Effective: 01 Jul 2005
Subsequent certificate of registration issued: Restricted Certificate Effective: 26 Oct 2004
Expired: Terms and conditions of certificate of registration Effective: 18 Oct 2004
Subsequent certificate of registration issued: Postgraduate Education Certificate Effective: 01 Mar 1999
Expired: Terms and conditions of certificate of registration Effective: 31 May 1998
First certificate of registration issued: Postgraduate Education Certificate Effective: 15 Nov 1996
DETAILS: Subsequent certificate of registration issued: Independent Practice Certificate
Date: Effective: 31 Aug 2006

DETAILS: Expired: Terms and conditions imposed on certificate by Registration Committee
Date: Effective: 31 Aug 2006

DETAILS: Terms and conditions amended by Registration Committee.
Date: Effective: 01 Jul 2005

DETAILS: Subsequent certificate of registration issued: Restricted Certificate
Date: Effective: 26 Oct 2004
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 26 Oct 2004

DETAILS: Expired: Terms and conditions of certificate of registration
Date: Effective: 18 Oct 2004

DETAILS: Subsequent certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Mar 1999

DETAILS: Expired: Terms and conditions of certificate of registration
Date: Effective: 31 May 1998

DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 15 Nov 1996