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Green, Kevin Hugh Ian

CPSO#: 70417

MEMBER STATUS

Active Member as of 01 Jul 1996

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 30 Jun 1998

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education: University of Ottawa, 1996

Practice Information

Primary Location of Practice

1-303 Hillside Ave
Oshawa ON L1J 1T4
Phone: 9054321017 Electoral District: 05

Additional Practice Location(s)

500 king street west unit #2
Oshawa ON L1J 2K9
Canada
Phone: (905) 576-3444
Fax: (905) 576-7980
County: Regional Municipality of Durham
Electoral District: 05

4062 Confederation Pky
Mississauga ON L5B 0G4
Canada
Phone: 6477222370
County: Regional Municipality of Peel
Electoral District: 05

Professional Corporation Information

Corporation Name: Kevin Green Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Dec 17 2010

Shareholders:
Dr. K. Green ( CPSO# 70417 )

Business Address:
Unit 17
600 King Street East
Oshawa ON  L1H 1G6

Business Address:
500 King Street West
Oshawa ON  L1J 2K9
Phone Number: (905) 576-3444

Business Address:
Lakeridge Health Oshawa
1 Hospital Court
Oshawa ON  L1G 2B9
Phone Number: (905) 576-8711

Hospital Privileges

Hospital	Location
Lakeridge Health,Oshawa General Site	Oshawa

Specialties

Specialty	Issued On	Type
Family Medicine	Effective:09 Jun 1998	CFPC Specialist

Terms and Conditions

(1) Dr. KEVIN HUGH IAN GREEN may practise only in the areas of medicine in which Dr. GREEN 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 1996 to 30 Jun 1997
PostGrad Yr 1 - Family Medicine

Schulich School of Medicine and Dentistr, 01 Jul 1997 to 30 Jun 1998
PostGrad Yr 2 - Family Medicine

Registration History

Action	Issue Date
First certificate of registration issued: Postgraduate Education Certificate	Effective: 01 Jul 1996
Transfer of class of registration to: Independent Practice Certificate	Effective: 30 Jun 1998