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
20/01/25 23:31:48 PM

General Information

Former Name: No Former Name
Medical School: Schulich School of Medicine and Dentistry, Western University, 2010
Gender: Woman
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: London Health Sciences Centre
Victoria Hospital
B2-441
800 Commissioners Road East
London Ontario N6A 5W9
Business Email: No Information Available
Phone: (519) 685-8355
Fax: 519-685-8573

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Obstetrics and Gynecology
Effective: 31 Dec 2015
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Obstetrics and Gynecology
ISSUED ON: Effective: Dec 31 2015
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

HOSPITAL LOCATION
London Health Sciences Centre Victoria Hospital London
HOSPITAL: London Health Sciences Centre Victoria Hospital
LOCATION: London

Professional Corporation Information

Corporation Name: Dr. Stephanie Black Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 22 Dec 2016
Shareholders:
Dr. S. Black (CPSO#: 93223 )
Business Address: London Health Sciences Centre
Victoria Hospital
800 Commissioners Road East
Room E2-620B
London Ontario N6A 5W9 (519) 685-8355

General Information

Former Name: No Former Name
Gender: Woman
Languages Spoken: ENGLISH
Medical School: Schulich School of Medicine and Dentistry, Western University, 2010

Practice Information

Primary Business Location: London Health Sciences Centre
Victoria Hospital
B2-441
800 Commissioners Road East
London Ontario N6A 5W9
Business Email: No Information Available
Phone: (519) 685-8355
Fax: 519-685-8573

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Obstetrics and Gynecology
Effective: 31 Dec 2015
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Obstetrics and Gynecology
ISSUED ON: Effective: Dec 31 2015
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

HOSPITAL LOCATION
London Health Sciences Centre Victoria Hospital London
HOSPITAL: London Health Sciences Centre Victoria Hospital
LOCATION: London

Professional Corporation Information

Corporation Name: Dr. Stephanie Black Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 22 Dec 2016
Shareholders:
Dr. S. Black (CPSO#: 93223 )
Business Address: London Health Sciences Centre
Victoria Hospital
800 Commissioners Road East
Room E2-620B
London Ontario N6A 5W9 (519) 685-8355

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. STEPHANIE ALICIA BLACK may practise only in the areas of medicine in which Dr. BLACK is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. STEPHANIE ALICIA BLACK may practise only in the areas of medicine in which Dr. BLACK 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: Schulich School of Medicine and Dentistry, Western University, 2010

Registration History

DETAILS DATE
Transfer of class of registration to: Independent Practice Certificate Effective: 31 Dec 2015
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2010
DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 31 Dec 2015
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 2010