THE FOLLOWING INFORMATION WAS OBTAINED FROM THE DOCTOR SEARCH SECTION OF THE WEBSITE OF THE COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO WWW.CPSO.ON.CA
Date: 19/04/24 18:42:44 PM

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Green, Jason Paul

CPSO#: 90405

MEMBER STATUS

Active Member as of 28 Jun 2012

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 28 Jun 2012

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education: Schulich School of Medicine and Dentistr, 2006

Practice Information

Primary Location of Practice

Grand River Hospital
835 King Street West
Kitchener ON N2G 1G3
Phone: (519) 742-3611 Electoral District: 03

Additional Practice Location(s)

St. Mary's General Hospital
911 Queen's Blvd
Kitchener ON N2M 1B2
Canada
Phone: (519) 749-6578 Ext. 6410
County: Regional Municipality of Waterloo
Electoral District: 03

Professional Corporation Information

Corporation Name: Jay Green Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Sep 25 2012

Shareholders:
Dr. J. Green ( CPSO# 90405 )

Business Address:
Grand River Hospital
835 King Street West
Kitchener ON N2G 1G3
Phone Number: (519) 749-4300

Business Address:
911 Queen's Boulevard
Kitchener ON N2M 1B2
Phone Number: (519) 749-6578

Hospital Privileges

Hospital	Location
Grand River Hospital Corporation	Kitchener
St Mary's General Hospital	Kitchener

Specialties

Specialty	Issued On	Type
Emergency Medicine	Effective:30 Jun 2011	RCPSC Specialist

Terms and Conditions

(1) Dr. JASON PAUL GREEN may practise only in the areas of medicine in which Dr. GREEN is educated and experienced.

Postgraduate Training

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

McMaster University, 04 May 2009 to 31 May 2009
EL - Emergency Medicine

Registration History

Action	Issue Date
First certificate of registration issued: Postgraduate Education Certificate	Effective: 04 May 2009
Expired: Terms and conditions of certificate of registration	Expiry: 31 May 2009
Subsequent certificate of registration Issued: Independent Practice Certificate	Effective: 28 Jun 2012