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Dastmalchian, Seyed Kazem

CPSO#: 111175

MEMBER STATUS

Active Member as of 18 Jan 2017

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 18 Jan 2017

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English, Farsi, Persian

Education: SHAHEED BEHESHTI UNIVERSITY, 1992

Practice Information

Primary Location of Practice

277-7163 Yonge Street
Grand Optima Medical Clinic
Markham ON L3T 0C8
Phone: 905-597-5125
Fax: 289-807-0047 Electoral District: 05

Additional Practice Location(s)

121-7163 Yonge Street
Optima Medical Cosmetic Clinic
Markham ON L3T 0C8
Canada
Phone: 9055971515
Fax: 9055975115
County: Regional Municipality of York
Electoral District: 05

Professional Corporation Information

Corporation Name: Dastmalchian Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Mar 17 2017

Shareholders:
Dr. S. Dastmalchian ( CPSO# 111175)

Business Address:
Suite 118
7163 Yonge Street
Thornhill ON L3T 0C6
Phone Number: (905) 597-6543

Specialties

Specialty	Issued On	Type
Family Medicine	Effective:12 Dec 2016	CFPC Specialist

Terms and Conditions

(1) Dr. SEYED KAZEM DASTMALCHIAN may practise only in the areas of medicine in which Dr. DASTMALCHIAN is educated and experienced.

Registration History

Action	Issue Date
First certificate of registration issued: Restricted certificate	Effective: 11 Nov 2016
Terms and conditions imposed on certificate by Registration Committee	Effective: 11 Nov 2016
Expiry date attached to certificate of registration.	Expiry Date: 10 Nov 2019
Expired: Terms and conditions imposed on certificate by Registration Committee	Effective: 18 Jan 2017
Subsequent certificate of registration Issued: Independent Practice Certificate	Effective: 18 Jan 2017