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Blouin, Danielle

CPSO#: 63789

MEMBER STATUS

Active Member as of 15 May 2002

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 15 May 2002

Summary

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Former Name: No Former Name

Gender: Female

Languages Spoken: English, French

Education: Université Laval Faculté de Médecine, 1987

Practice Information

Primary Location of Practice

Department of Emergency Medicine
Kingston General Hospital
76 Stuart Street
Kingston ON K7L 2V7
Phone: (613) 549-6666 Ext. 2368 Electoral District: 06

Professional Corporation Information

Corporation Name: Danielle Blouin Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Aug 28 2003

Shareholders:
Dr. D. Blouin ( CPSO# 63789 )

Business Address:
Department of Emergency Medicine
Kingston General Hospital
76 Stuart Street
Kingston ON K7L 2V7
Phone Number: (613) 548-2368

Business Address:
144 Brock Street
Kingston ON K7L 5G2
Phone Number: (613) 546-1240

Hospital Privileges

Hospital	Location
Kingston Health Sciences Centre	Kingston

Specialties

Specialty	Issued On	Type
Emergency Medicine	Effective:30 Jun 1999	RCPSC Specialist
Family Medicine	Effective:08 Jun 1993	CFPC Specialist

Terms and Conditions

(1) Dr. DANIELLE BLOUIN may practise only in the areas of medicine in which Dr. BLOUIN is educated and experienced.

Postgraduate Training

Please note: This information may not be a complete record of postgraduate training.

Queen's University, 01 Jul 1991 to 30 Jun 1992
Resident 2 - Family Medicine

Queen's University, 01 Jul 1992 to 30 Jun 1993
Resident 3 - Family Medicine

Registration History

Action	Issue Date
First certificate of registration issued: Postgraduate Education Certificate	Effective: 01 Jul 1991
Expired: Terms and conditions of certificate of registration	Expiry: 30 Jun 1993
Subsequent certificate of registration Issued: Independent Practice Certificate	Effective: 20 Feb 1997
Expired: Failure to Renew Membership	Expiry: 25 Nov 1998
Subsequent certificate of registration Issued: Independent Practice Certificate	Effective: 15 May 2002