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Sugamori, Mark Eisei

CPSO#: 60816

MEMBER STATUS

Expired: Resigned from membership as of 31 May 2022

EXPIRY DATE

31 May 2022

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 07 Jun 2017

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education: University of Toronto, 1989

Practice Information

Primary Location of Practice

25 Rle Andréa
Dieppe NB E1A 8L2

Professional Corporation Information

Corporation Name: Mark Sugamori Medicine Professional Corporation
Certificate of Authorization Status: Inactive: May 7 2020

Medical Records Location

Instructions/Address:

Riverview Medical Group
6420 Beatty Line N, Unit 203
Fergus, Ontario
N1M 2W3

Date Received: 02 Jun 2022

Specialties

Specialty	Issued On	Type
Family Medicine	Effective:01 Jun 1994	CFPC Specialist

Postgraduate Training

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

University of Ottawa, 15 Jun 1989 to 14 Jun 1990
Other - Rotating Internship

McMaster University, 01 Jul 1993 to 30 Jun 1994
Resident 2 - Family Medicine

Registration History

Action	Issue Date
First certificate of registration issued: Postgraduate Education Certificate	Effective: 15 Jun 1989
Expired: Terms and conditions of certificate of registration	Expiry: 14 Jun 1990
Subsequent certificate of registration Issued: Independent Practice Certificate	Effective: 31 Jul 1990
Transfer of class of certificate to: Restricted certificate	Effective: 22 Feb 2017
Terms and conditions imposed on certificate	Effective: 22 Feb 2017
Transfer of class of registration to: Independent Practice Certificate	Effective: 07 Jun 2017
Expired: Resigned from membership.	Expiry: 31 May 2022