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
14/03/25 06:28:09 AM

General Information

Former Name: No Former Name
Medical School: University of Toronto, 2006
Gender: Woman
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: Mississauga Lung Health Centre
Suite 214 - 89 Queensway West
Mississauga Ontario L5B 2V2
Business Email: No Information Available
Phone: (905) 848-6079
Fax: (905) 858-8835

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Respirology
Effective: 04 Oct 2011
Royal College of Physicians and Surgeons of Canada
Internal Medicine
Effective: 30 Jun 2010
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Respirology
ISSUED ON: Effective: Oct 04 2011
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada
SPECIALTY: Internal Medicine
ISSUED ON: Effective: Jun 30 2010
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

HOSPITAL LOCATION
Trillium Health Partners Mississauga
HOSPITAL: Trillium Health Partners
LOCATION: Mississauga

Professional Corporation Information

Corporation Name: Dr. Revital Wanono Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 28 Jun 2013
Shareholders:
Dr. D. Klein (CPSO#: 99666 ) Dr. R. Wanono (CPSO#: 86070 )
Business Address: Mississauga Lung Health Centre
214 - 89 Queensway West
Mississauga Ontario L5B 2V2 (905) 848-6079
Business Address: 150 Sherway Drive
Etobicoke Ontario M9C 1A5 (416) 521-4196
Business Address: 531 Atkinson Aveune
Thornhill Ontario L4J 8L7 (905) 731-5554
Business Address: 100 Queensway West
Mississauga Ontario L5B 1B8 (905) 848-7100

General Information

Former Name: No Former Name
Gender: Woman
Languages Spoken: ENGLISH
Medical School: University of Toronto, 2006

Practice Information

Primary Business Location: Mississauga Lung Health Centre
Suite 214 - 89 Queensway West
Mississauga Ontario L5B 2V2
Business Email: No Information Available
Phone: (905) 848-6079
Fax: (905) 858-8835

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Respirology
Effective: 04 Oct 2011
Royal College of Physicians and Surgeons of Canada
Internal Medicine
Effective: 30 Jun 2010
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Respirology
ISSUED ON: Effective: Oct 04 2011
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada
SPECIALTY: Internal Medicine
ISSUED ON: Effective: Jun 30 2010
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

HOSPITAL LOCATION
Trillium Health Partners Mississauga
HOSPITAL: Trillium Health Partners
LOCATION: Mississauga

Professional Corporation Information

Corporation Name: Dr. Revital Wanono Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 28 Jun 2013
Shareholders:
Dr. D. Klein (CPSO#: 99666 ) Dr. R. Wanono (CPSO#: 86070 )
Business Address: Mississauga Lung Health Centre
214 - 89 Queensway West
Mississauga Ontario L5B 2V2 (905) 848-6079
Business Address: 150 Sherway Drive
Etobicoke Ontario M9C 1A5 (416) 521-4196
Business Address: 531 Atkinson Aveune
Thornhill Ontario L4J 8L7 (905) 731-5554
Business Address: 100 Queensway West
Mississauga Ontario L5B 1B8 (905) 848-7100

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. REVITAL WANONO may practise only in the areas of medicine in which Dr. WANONO is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. REVITAL WANONO may practise only in the areas of medicine in which Dr. WANONO 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 Toronto, 2006

Registration History

DETAILS DATE
Subsequent certificate of registration issued: Independent Practice Certificate Effective: 23 May 2013
Expired: Terms and conditions of certificate of registration Effective: 31 Aug 2008
Subsequent certificate of registration issued: Postgraduate Education Certificate Effective: 01 Aug 2008
Expired: Terms and conditions of certificate of registration Effective: 30 Apr 2007
First certificate of registration issued: Postgraduate Education Certificate Effective: 05 Apr 2007
DETAILS: Subsequent certificate of registration issued: Independent Practice Certificate
Date: Effective: 23 May 2013
DETAILS: Expired: Terms and conditions of certificate of registration
Date: Effective: 31 Aug 2008
DETAILS: Subsequent certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Aug 2008
DETAILS: Expired: Terms and conditions of certificate of registration
Date: Effective: 30 Apr 2007
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 05 Apr 2007