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Moulin, Dwight Emmerson

CPSO#: 26896

MEMBER STATUS
Active Member as of 13 Sep 1985
CPSO REGISTRATION CLASS
Independent Practice as of 13 Sep 1985

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education:Western University, 1973

Practice Information

Primary Location of Practice
London Regional Cancer Program
800 Commissioners Rd E
Room A1-146
London ON  N6A 5W9
Phone: 519 685 8661
Fax: 519 685 8619 Electoral District: 02

Additional Practice Location(s)

Victoria Hospital
800 Commissioners Rd E
London ON  N6A 5W9
Canada
Phone: 519 685 8661
Fax: 519 685 8619
County: County of Middlesex
Electoral District: 02

St Joseph's Hospital
268 Grosvenor St
London ON  N6A 4V2
Canada
Phone: 519 685 8661
Fax: 519 685 8619
County: County of Middlesex
Electoral District: 02

Professional Corporation Information


Corporation Name: Moulin Medicine Professional Corporation
Certificate of Authorization Status: Inactive: Apr 27 2021

Hospital Privileges

Hospital Location
London Health Sciences Centre Victoria Hospital London
London Health Sciences Centre,University Site London
St Joseph's Health Care-St Joseph's Site,London London

Specialties

Specialty Issued On Type
Neurology Effective:07 Dec 1982 RCPSC Specialist

Terms and Conditions

(1) Dr. DWIGHT EMMERSON MOULIN may practise only in the areas of medicine in which Dr. MOULIN is educated and experienced.

Registration History

Action Issue Date
First certificate of registration issued: Postgraduate Education Certificate Effective: 15 Jun 1973
Transfer of class of registration to: Independent Practice Certificate Effective: 14 Aug 1974
Transfer of class of registration to: Postgraduate Education Certificate Effective: 13 Nov 1979
Expired: Terms and conditions of certificate of registration Expiry: 31 Dec 1982
Subsequent certificate of registration Issued: Independent Practice Certificate Effective: 22 Feb 1983
Expired: Resigned from membership. Expiry: 01 Jul 1983
Subsequent certificate of registration Issued: Independent Practice Certificate Effective: 13 Sep 1985