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Martin, Keith Lloyd

CPSO#: 64370

MEMBER STATUS

Active Member as of 24 Jul 1991

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 24 Jul 1991

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English, French

Education: McGill University Faculty of Medicine an, 1989

Practice Information

Primary Location of Practice

Oakville Trafalgar Memorial
Hospital
3001 Hospital Gate
Oakville ON L6M 0L8
Phone: (905) 338-4618
Fax: (905) 338-4616 Electoral District: 04

Additional Practice Location(s)

Milton District Hospital
7030 Derry Road
Milton ON L9T 7H6
Canada
Phone: 9058452571 Ext. 0
County: Regional Municipality of Halton
Electoral District: 04

Professional Corporation Information

Corporation Name: Keith Martin Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Aug 03 2006

Shareholders:
Dr. K. Martin ( CPSO# 64370 )

Business Address:
3001 Hospital Gate
Oakville ON L6M 0L8
Phone Number: 4169046670

Hospital Privileges

Hospital	Location
Halton Healthcare Services Corporation - Milton District Hos,pital	Milton
Halton Healthcare Services Corporation	Oakville

Specialties

Specialty	Issued On	Type
Family Medicine	Effective:20 Jun 1991	CFPC Specialist
Family Medicine (Emergency Medicine)	Effective:09 Dec 1992	CFPC Specialist

Terms and Conditions

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

Registration History

Action	Issue Date
First certificate of registration issued: Independent Practice Certificate	Effective: 24 Jul 1991