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Sullivan, Sean Thomas

CPSO#: 98151

MEMBER STATUS

Active Member as of 01 Jul 2012

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 27 Jun 2014

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education: Northern Ontario School of Medicine, 2012

Practice Information

Primary Location of Practice

555 Barrydowne Road
Suite 105
Sudbury ON P3A 3T4
Phone: (705) 524-7312
Fax: (705) 524-7897 Electoral District: 08

Additional Practice Location(s)

Health Sciences North
Department of Family Medicine
41 Ramsey Lake Road
Sudbury, ON
Sudbury ON P3E 5J1
Canada
Phone: (705) 523-7100
County: Terr.District/Regional Municipality of Sudbury
Electoral District: 08

111 Larch Street, Suite 400
Sudbury, ON
Sudbury ON P3E 4T5
Canada
Phone: (705) 688-0500
County: Terr.District/Regional Municipality of Sudbury
Electoral District: 08

1485 Bancroft Drive
Sudbury ON P3B 1R6
Canada
Fax: (705)-222-3372
County: Terr.District/Regional Municipality of Sudbury
Electoral District: 08

Professional Corporation Information

Corporation Name: Dr. Sean Thomas Sullivan Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Jun 17 2014

Shareholders:
Dr. S. Sullivan ( CPSO# 98151 )

Business Address:
Suite 400
111 Larch Street
Sudbury ON  P3E 4T5
Phone Number: (705) 688-0500

Business Address:
1485 Bancroft Drive
Sudbury ON  P3B 1R6

Business Address:
Health Sciences North
Department of Family Medicine
41 Ramsey Lake Road
Sudbury ON  P3E 5J1
Phone Number: (705) 523-7100

Business Address:
Room 105
555 Barrydowne Road
Sudbury ON  P3A 3T4
Phone Number: (705) 524-7312

Hospital Privileges

Hospital	Location
Health Sciences North	Sudbury

Specialties

Specialty	Issued On	Type
Family Medicine	Effective:26 Jun 2014	CFPC Specialist

Terms and Conditions

(1) Dr. SEAN THOMAS SULLIVAN may practise only in the areas of medicine in which Dr. SULLIVAN is educated and experienced.

Postgraduate Training

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

Northern Ontario School of Medicine, 01 Jul 2012 to 30 Jun 2013
PostGrad Yr 1 - Family Medicine

Northern Ontario School of Medicine, 01 Jul 2013 to 30 Jun 2014
PostGrad Yr 2 - Family Medicine

Registration History

Action	Issue Date
First certificate of registration issued: Postgraduate Education Certificate	Effective: 01 Jul 2012
Transfer of class of registration to: Independent Practice Certificate	Effective: 27 Jun 2014