Boughner, Derek Richard (CPSO#: 20960)

Current Status: Active Member as of 27 Jul 1967

CPSO Registration Class: Independent Practice as of 27 Jul 1967

Summary

Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education:The University of Western Ontario, 1965

Practice Information

Primary Location of Practice
London Health Sciences Centre
University Campus
339 Windermere Road
P O Box 5339
London ON  N6A 5A5
Phone: (519) 663-3262
Fax: (519) 434-3278
Electoral District: 02
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Additional Practice Location(s)

London Cardiac Institute
Suite 302
256 Pall Mall Street
London ON  N6A 5P6
Canada
Phone: (519) 645-0146
County: County of Middlesex
Electoral District: 02
View Professional Corporation Information

Professional Corporation Information

Corporation Name: Derek Boughner Medicine Professional Corporation

Certificate of Authorization Status: Issued Date:  Aug 20 2012

Shareholders:
Dr. D. Boughner ( CPSO# 20960 )

Business Address:
London Health Sciences Centre
University Campus
339 Windermere Road
P O Box 5339
London ON  N6A 5A5
Phone Number: (519) 663-3262

Business Address:
London Cardiac Institute
Suite 302
256 Pall Mall Street
London ON  N6A 5P6
Phone Number: (519) 645-0146

Hospital Privileges

Hospital Location
London Health Sciences Centre,University Site London
St Joseph's Health Care-St Joseph's Site,London London

Specialties

Specialty Issued On Type
Internal Medicine Effective: 16 Nov 1970 RCPSC Specialist

Terms and Conditions

Details

(1) Dr. DEREK RICHARD BOUGHNER may practise only in the areas of medicine in which Dr. BOUGHNER is educated and experienced.

Registration History

Action Issue Date
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 1965
Transfer of class of registration to: Independent Practice Certificate Effective: 27 Jul 1967