Moore, Stephen Blair (CPSO#: 23044)

Current Status: Expired: Resigned from membership as of 28 Sep 2018

CPSO Registration Class: None as of 28 Sep 2018

Summary

Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education:The University of Western Ontario, 1969

Practice Information

Primary Location of Practice
Practice Address Not Available
View Professional Corporation Information

Professional Corporation Information

Corporation Name: Stephen Blair Moore Medicine Professional Corporation

Certificate of Authorization Status: Issued Date:  Oct 23 2006

Shareholders:
Dr. S. Moore ( CPSO# 23044 )

Business Address:
Perth & Smiths Falls District Hospital
60 Cornelia Street West
Smiths Falls ON  K7A 2H9
Phone Number: (613) 485-7111

Medical Records Location

Address: 763 Crozier Rd RR1 Westport ON K06 1X1 Fax: 613-273-7111
Date Received: 28 Sep 2018

Specialties

Specialty Issued On Type
Internal Medicine Effective: 07 Nov 1974 RCPSC Specialist

Registration History

Action Issue Date
First certificate of registration issued: Independent Practice Certificate Effective: 22 Jul 1970
Expired: Resigned from membership. Expiry: 28 Aug 1996
Subsequent certificate of registration Issued: Independent Practice Certificate Effective: 25 Jul 2001
Expired: Resigned from membership. Expiry: 28 Sep 2018