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Long, Michelle

CPSO#: 62515

MEMBER STATUS

Active Member as of 25 Jun 1991

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 25 Jun 1991

Summary

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Former Name: No Former Name

Gender: Female

Languages Spoken: English

Education: University of Toronto, 1990

Practice Information

Primary Location of Practice

3-15 Henderson Street
Port Hope ON L1A 0C6
Phone: (905) 885-8371
Fax: (905) 885-7695 Electoral District: 06

Professional Corporation Information

Corporation Name: Michelle Long Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Aug 12 2009

Shareholders:
Dr. M. Long ( CPSO# 62515 )

Business Address:
3-15 Henderson Street
Port Hope ON L1A 0C6
Phone Number: (905) 885-8371

Hospital Privileges

Hospital	Location
Northumberland Hills Hospital	Cobourg

Specialties

Specialty	Issued On	Type
No Speciality Reported

Terms and Conditions

(1) Dr. MICHELLE LONG may practise only in the areas of medicine in which Dr. LONG is educated and experienced.

Registration History

Action	Issue Date
First certificate of registration issued: Postgraduate Education Certificate	Effective: 11 Jun 1990
Expired: Terms and conditions of certificate of registration	Expiry: 24 Jun 1991
Subsequent certificate of registration Issued: Independent Practice Certificate	Effective: 25 Jun 1991