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Kassam, Fairyal

CPSO#: 122592

MEMBER STATUS

Active Member as of 16 Sep 2020

CURRENT OR PAST CPSO REGISTRATION CLASS

Restricted as of 16 Sep 2020

Summary

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Former Name: No Former Name

Gender: Female

Languages Spoken: English

Education: American University Of Antigua, 2011

Practice Information

Primary Location of Practice

14-9425 Leslie St
Fountain Medical & Wellness
Richmond Hill ON L4B 3N7 Electoral District: 05

Additional Practice Location(s)

11290 Pine Valley Dr
Kristus Darzs Latvian Home
Woodbridge ON L3L 0B1
Canada
County: Regional Municipality of York
Electoral District: 05

Professional Corporation Information

Corporation Name: Fairyal Kassam Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Jun 12 2022

Shareholders:
Dr. F. Kassam ( CPSO# 122592)

Business Address:
14-9425 Leslie St
Richmond Hill ON L4B 3N7
Phone Number: 9052376189

Specialties

Specialty	Issued On	Type
Family Medicine	Effective:16 Sep 2020	CPSO Recognized Specialist

Registration History

Action	Issue Date
First certificate of registration issued: Restricted certificate	Effective: 16 Sep 2020
Terms and conditions imposed on certificate by Registration Committee	Effective: 16 Sep 2020
Expiry date attached to certificate of registration.	Expiry Date: 15 Mar 2022
Terms and conditions amended by Registration Committee	Effective: 18 Feb 2022

Practice Restrictions

Imposed By	Effective Date	Expiry Date	Status
Registration Committee	Effective: 18 Feb 2022		Active

 Dr. FAIRYAL KASSAM may practise medicine independently in family medicine.