Form ID

Publication date

Location of premises

Certificate

Lakehead Nurse Practitioner - Led Clinic

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Lakehead Nurse Practitioners
Address of Owner
Suite 101300 Archibald St., Thunder Bay, ON
Name of Contractor
Man-shield Construction (NWO) Inc.
Address of Contractor
200-955 Cobalt Cr., Thunder Bay, ON P7B 5Z4
Name of Certifier
PBK Architects
Address of Certifier
Suite 101-979 Alloy Dr., Thunder Bay, ON P7B 5Z8

Identification of Premises

Lakehead Nurse Practitioners - Led Clinic, Suite 101-300 Archibald St., Thunder Bay, ON