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Gibson, Malcolm Albert Stirling

CPSO#: 79374

MEMBER STATUS

Active Member as of 19 Jul 2005

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 19 Jul 2005

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education: Queen's University, 2003

Practice Information

Primary Location of Practice

Dawson Road Family Medical Clinic
Suite 109
83 Dawson Road
Guelph ON N1H 1B1
Phone: (519) 766-1360
Fax: (519) 766-0469 Electoral District: 03

Professional Corporation Information

Corporation Name: Malcolm A.S. Gibson Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Feb 03 2011

Shareholders:
Dr. M. Gibson ( CPSO# 79374 )

Business Address:
Dawson Road Family Medical Clinic
Suite 109
83 Dawson Road
Guelph ON N1H 1B1
Phone Number: (519) 766-1360

Hospital Privileges

Hospital	Location
Guelph General Hospital	Guelph

Specialties

Specialty	Issued On	Type
Family Medicine	Effective:15 Jun 2005	CFPC Specialist

Terms and Conditions

(1) Dr. MALCOLM ALBERT STIRLING GIBSON may practise only in the areas of medicine in which Dr. GIBSON is educated and experienced.

Postgraduate Training

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

McMaster University, 01 Jul 2003 to 30 Jun 2004
PostGrad Yr 1 - Family Medicine

McMaster University, 01 Jul 2004 to 30 Jun 2005
PostGrad Yr 2 - Family Medicine

McMaster University, 01 Jul 2005 to 30 Jun 2006
PostGrad Yr 3 - Family Medicine

Registration History

Action	Issue Date
First certificate of registration issued: Postgraduate Education Certificate	Effective: 01 Jul 2003
Transfer of class of registration to: Independent Practice Certificate	Effective: 19 Jul 2005