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Clark, Carolyn Mary

CPSO#: 68845

MEMBER STATUS

Active Member as of 01 Jul 1995

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 24 Jun 1997

Summary

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Former Name: No Former Name

Gender: Female

Languages Spoken: English, French

Education: Queen's University, 1995

Practice Information

Primary Location of Practice

201-25 Tapiola Cres
Ottawa ON K1T 2J7
Phone: 613-738-0303 Electoral District: 07

Additional Practice Location(s)

1111 Wellington
currently doing virtual care only
Ottawa ON K1Y 2Y6
Canada
Phone: 613-729-8255
County: Regional Municipality of Ottawa-Carleton
Electoral District: 07

Professional Corporation Information

Corporation Name: Mai Clark Medicine Professional Corporation
Certificate of Authorization Status: Inactive: Oct 5 2017

Specialties

Specialty	Issued On	Type
Family Medicine	Effective:06 Jun 1997	CFPC Specialist

Terms and Conditions

(1) Dr. CAROLYN MARY CLARK may practise only in the areas of medicine in which Dr. CLARK is educated and experienced.

Postgraduate Training

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

University of Ottawa, 01 Jul 1995 to 30 Jun 1996
PostGrad Yr 1 - Family Medicine

University of Ottawa, 01 Jul 1996 to 30 Jun 1997
PostGrad Yr 2 - Family Medicine

Registration History

Action	Issue Date
First certificate of registration issued: Postgraduate Education Certificate	Effective: 01 Jul 1995
Transfer of class of registration to: Independent Practice Certificate	Effective: 24 Jun 1997