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Sullivan, David Brian

CPSO#: 54335

MEMBER STATUS

Active Member as of 15 Jun 1984

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 09 Jul 1985

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education: National University of Ireland, 1984

Practice Information

Primary Location of Practice

48 Parkview Court
Chatham ON N7L 5K5
Phone: (519) 351 0361
Fax: (519) 397 4120 Electoral District: 01

Professional Corporation Information

Corporation Name: David B. Sullivan Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Aug 08 2007

Shareholders:
Dr. D. Sullivan ( CPSO# 54335 )

Business Address:
80 Grand Avenue West
Chatham ON  N7L 5L9
Phone Number: (519) 352-6400

Business Address:
150 Richmond Street
Chatham ON  N7M 1N9
Phone Number: (519) 397-5455

Business Address:
330 Notre Dame Street
Belle River ON  N0R 1A0
Phone Number: (519) 728-0574

Hospital Privileges

Hospital	Location
Chatham-Kent Health Alliance	Chatham

Specialties

Specialty	Issued On	Type
Family Medicine	Effective:06 Dec 2006	CFPC Specialist

Terms and Conditions

(1) Dr. DAVID BRIAN SULLIVAN may practise only in the areas of medicine in which Dr. SULLIVAN is educated and experienced.

Registration History

Action	Issue Date
First certificate of registration issued: Postgraduate Education Certificate	Effective: 15 Jun 1984
Transfer of class of registration to: Independent Practice Certificate	Effective: 09 Jul 1985