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Donovan, Keith Duane

CPSO#: 65587

MEMBER STATUS

Active Member as of 21 Dec 1993

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 21 Dec 1993

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education: Dalhousie University Faculty of Medicine, 1992

Practice Information

Primary Location of Practice

London Health Sciences Centre
800 Commissioners Road East
London ON N6C 6B5
Phone: (519) 667-6538
Fax: (519) 667-6769 Electoral District: 02

Additional Practice Location(s)

St. Joseph's Hospital
268 Grosvenor Street
London ON N5Y 2Y4
Canada
County: County of Middlesex
Electoral District: 02

Professional Corporation Information

Corporation Name: Keith Donovan Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Jun 27 2008

Shareholders:
Dr. K. Donovan ( CPSO# 65587 )

Business Address:
London Health Sciences Centre
800 Commissioners Road East
London ON  N6C 6B5
Phone Number: (519) 667-6538

Business Address:
268 Grosvenor Street
London ON  N6A 4V2
Phone Number: (519) 646-6100

Business Address:
339 Windermere Road
London ON  N6A 5A5
Phone Number: (519) 685-8500

Hospital Privileges

Hospital	Location
London Health Sciences Centre	London
London Health Sciences Centre Victoria Hospital	London
St Joseph's Health Care, London	London

Specialties

Specialty	Issued On	Type
Emergency Medicine	Effective:30 Jun 1998	RCPSC Specialist

Terms and Conditions

(1) Dr. KEITH DUANE DONOVAN may practise only in the areas of medicine in which Dr. DONOVAN is educated and experienced.

Postgraduate Training

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

Schulich School of Medicine and Dentistr, 01 Jul 1995 to 30 Jun 1996
Resident 2 - Emergency Medicine

Schulich School of Medicine and Dentistr, 01 Jul 1996 to 30 Jun 1997
Resident 3 - Emergency Medicine

Schulich School of Medicine and Dentistr, 01 Jul 1997 to 30 Jun 1998
Resident 4 - Emergency Medicine

Registration History

Action	Issue Date
First certificate of registration issued: Postgraduate Education Certificate	Effective: 15 Jun 1992
Expired: Terms and conditions of certificate of registration	Expiry: 14 Jun 1993
Subsequent certificate of registration Issued: Independent Practice Certificate	Effective: 21 Dec 1993