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Blom, Phillip Patrick

CPSO#: 80537

MEMBER STATUS
Expired: Resigned from membership as of 01 Jun 2013
CURRENT OR PAST CPSO REGISTRATION CLASS
None as of 24 Jan 2005

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: Afrikaans, English

Education: University of Pretoria School of Medicin, 1996

Practice Information

Primary Location of Practice
Practice Address Not Available

Professional Corporation Information


Corporation Name: Phillip Blom Medicine Professional Corporation
Certificate of Authorization Status: Inactive: Mar 9 2012

Specialties

Specialty Issued On Type
Family Medicine Effective:08 Dec 2004 CFPC Specialist

Registration History

Action Issue Date
First certificate of registration issued: Restricted certificate Effective: 11 Mar 2004
Terms and conditions imposed on certificate by Registration Committee Effective: 11 Mar 2004
Expiry date attached to certificate of registration. Expiry Date: 10 Mar 2007
Expired: Terms and conditions imposed on certificate by Registration Committee Effective: 24 Jan 2005
Subsequent certificate of registration Issued: Independent Practice Certificate Effective: 24 Jan 2005
Expired: Resigned from membership. Expiry: 01 Jun 2013