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Ettehad Dabagh, Mojgan

CPSO#: 103823

MEMBER STATUS

Active Member as of 28 Jan 2015

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 28 Jan 2015

Summary

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Former Name: No Former Name

Gender: Female

Languages Spoken: Azari, English, Farsi

Education: AHWAZ UNIVERSITY OF MEDICAL SCIENCES, 1994

Practice Information

Primary Location of Practice

10288 YONGE STREET
UNIT # 5
Richmond Hill ON L4C 3B8
Phone: (905) 237-8630
Fax: (905) 237-8632 Electoral District: 05

Professional Corporation Information

Corporation Name: Dr. Mojgan Ettehad Dabagh Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Jan 26 2015

Shareholders:
Dr. M. Ettehad Dabagh ( CPSO# 103823)

Business Address:
5 - 10288 Yonge Street
Richmond Hill ON L4C 3B8
Phone Number: (905) 237-8630

Specialties

Specialty	Issued On	Type
Family Medicine	Effective:16 Dec 2014	CFPC Specialist

Terms and Conditions

(1) Dr. MOJGAN ETTEHAD DABAGH may practise only in the areas of medicine in which Dr. ETTEHAD DABAGH is educated and experienced.

Registration History

Action	Issue Date
First certificate of registration issued: Restricted certificate	Effective: 11 Jun 2014
Terms and conditions imposed on certificate by Registration Committee	Effective: 11 Jun 2014
Expiry date attached to certificate of registration.	Expiry Date: 10 Jun 2017
Expired: Terms and conditions imposed on certificate by Registration Committee	Effective: 28 Jan 2015
Subsequent certificate of registration Issued: Independent Practice Certificate	Effective: 28 Jan 2015