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Mendoza, Johnny

CPSO#: 129060

MEMBER STATUS

Active Member as of 29 Sep 2023

CURRENT OR PAST CPSO REGISTRATION CLASS

Restricted as of 29 Sep 2023

Summary

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Former Name: Mendoza Ulloa, Johnny (used until: 13 Jul 2023 )

Gender: Male

Languages Spoken: English, Spanish

Education: Saint James School of Medicine St. Vince, 2013

Practice Information

Primary Location of Practice

100-100 Health Village Lane
100 Health Village Lane
Renfrew ON K7V 0C3
Phone: 613-432-2222 Electoral District: 07

Professional Corporation Information

Corporation Name: Johnny Mendoza Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Nov 24 2023

Shareholders:
Dr. J. Mendoza ( CPSO# 129060)

Business Address:
100 Health Village Lane
Renfrew ON K7V 0C3
Phone Number: 613-432-2222

Hospital Privileges

Hospital	Location
Renfrew Victoria Hospital	Renfrew

Specialties

Specialty	Issued On	Type
Family Medicine	Effective:29 Sep 2023	CPSO Recognized Specialist

Registration History

Action	Issue Date
First certificate of registration issued: Restricted certificate	Effective: 29 Sep 2023
Terms and conditions imposed on certificate by Registration Committee	Effective: 29 Sep 2023

Practice Restrictions

Imposed By	Effective Date	Expiry Date	Status
Registration Committee	Effective: 29 Sep 2023		Active

 Dr. JOHNNY MENDOZA may practise medicine independently in family medicine.