THE FOLLOWING INFORMATION WAS OBTAINED FROM THE PHYSICIAN REGISTER SECTION OF THE WEBSITE OF THE COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO (WWW.CPSO.ON.CA) AS OF THE DATE AND TIME NOTED BELOW
14/11/24 17:16:34 PM

General Information

Former Name: No Former Name
Medical School: Schulich School of Medicine and Dentistry, Western University, 1973
Gender: Man
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: 800 Commissioners Rd E
Room A1-146
London Regional Cancer Program
London Ontario N6A 5W9
Business Email: No Information Available
Phone: 519 685 8661
Fax: 519 685 8619
Address: 800 Commissioners Rd E
Victoria Hospital
London Ontario N6A 5W9
Phone: 519 685 8661
Fax: 519 685 8619
Address: 268 Grosvenor St
St Joseph's Hospital
London ON N6A 4V2
Phone: 519 685 8661
Fax: 519 685 8619

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Neurology
Effective: 07 Dec 1982
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Neurology
ISSUED ON: Effective: Dec 07 1982
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

HOSPITAL LOCATION
St Joseph's Health Care, London London
London Health Sciences Centre London
London Health Sciences Centre Victoria Hospital London
HOSPITAL: St Joseph's Health Care, London
LOCATION: London

HOSPITAL: London Health Sciences Centre
LOCATION: London

HOSPITAL: London Health Sciences Centre Victoria Hospital
LOCATION: London

Professional Corporation Information

Corporation Name: Moulin Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 24 Feb 2009
Shareholders:
Dr. D. Moulin (CPSO#: 26896 )
Business Address: Suite A1-146
800 Commissioners Road East
London Ontario N6A 5W9
(519) 685-8661

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: Schulich School of Medicine and Dentistry, Western University, 1973

Practice Information

Primary Business Location: 800 Commissioners Rd E
Room A1-146
London Regional Cancer Program
London Ontario N6A 5W9
Business Email: No Information Available
Phone: 519 685 8661
Fax: 519 685 8619
Address: 800 Commissioners Rd E
Victoria Hospital
London Ontario N6A 5W9
Phone: 519 685 8661
Fax: 519 685 8619
Address: 268 Grosvenor St
St Joseph's Hospital
London ON N6A 4V2
Phone: 519 685 8661
Fax: 519 685 8619

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Neurology
Effective: 07 Dec 1982
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Neurology
ISSUED ON: Effective: Dec 07 1982
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

HOSPITAL LOCATION
St Joseph's Health Care, London London
London Health Sciences Centre London
London Health Sciences Centre Victoria Hospital London
HOSPITAL: St Joseph's Health Care, London
LOCATION: London

HOSPITAL: London Health Sciences Centre
LOCATION: London

HOSPITAL: London Health Sciences Centre Victoria Hospital
LOCATION: London

Professional Corporation Information

Corporation Name: Moulin Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 24 Feb 2009
Shareholders:
Dr. D. Moulin (CPSO#: 26896 )
Business Address: Suite A1-146
800 Commissioners Road East
London Ontario N6A 5W9
(519) 685-8661

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. DWIGHT EMMERSON MOULIN may practise only in the areas of medicine in which Dr. MOULIN is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. DWIGHT EMMERSON MOULIN may practise only in the areas of medicine in which Dr. MOULIN is educated and experienced.

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Training

Medical School: Schulich School of Medicine and Dentistry, Western University, 1973

Registration History

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

DETAILS: Expired: Resigned from membership.
Date: Effective: 01 Jul 1983

DETAILS: Subsequent certificate of registration issued: Independent Practice Certificate
Date: Effective: 22 Feb 1983

DETAILS: Expired: Terms and conditions of certificate of registration
Date: Effective: 31 Dec 1982

DETAILS: Transfer of class of registration to: Postgraduate Education Certificate
Date: Effective: 13 Nov 1979

DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 14 Aug 1974

DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 15 Jun 1973