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
23/03/25 05:27:53 AM

General Information

Former Name: No Former Name
Medical School: Schulich School of Medicine and Dentistry, Western University, 2011
Gender: Man
Languages Spoken: ENGLISH, CANTONESE, MANDARIN

Practice Information

Primary Business Location: Block Line Medical Clinic
Suite 201
1450 Block Line Road
Kitchener, ON
Kitchener Ontario N2C 0A5
Business Email: No Information Available
Phone: (519) 578-4450
Fax: (519) 579-1142

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 19 Dec 2013
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Dec 19 2013
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
St Mary's General Hospital Kitchener
Grand River Hospital Corporation Kitchener
HOSPITAL: St Mary's General Hospital
LOCATION: Kitchener
HOSPITAL: Grand River Hospital Corporation
LOCATION: Kitchener

Professional Corporation Information

Corporation Name: Qi Wang Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 28 Aug 2013
Shareholders:
Dr. Q. Wang (CPSO#: 96341 )
Business Address: Suite 201
1450 Block Line Road
Kitchener Ontario N2C 0A5 (519) 578-4450

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH, CANTONESE, MANDARIN
Medical School: Schulich School of Medicine and Dentistry, Western University, 2011

Practice Information

Primary Business Location: Block Line Medical Clinic
Suite 201
1450 Block Line Road
Kitchener, ON
Kitchener Ontario N2C 0A5
Business Email: No Information Available
Phone: (519) 578-4450
Fax: (519) 579-1142

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 19 Dec 2013
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Dec 19 2013
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
St Mary's General Hospital Kitchener
Grand River Hospital Corporation Kitchener
HOSPITAL: St Mary's General Hospital
LOCATION: Kitchener
HOSPITAL: Grand River Hospital Corporation
LOCATION: Kitchener

Professional Corporation Information

Corporation Name: Qi Wang Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 28 Aug 2013
Shareholders:
Dr. Q. Wang (CPSO#: 96341 )
Business Address: Suite 201
1450 Block Line Road
Kitchener Ontario N2C 0A5 (519) 578-4450

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. QI WANG may practise only in the areas of medicine in which Dr. WANG is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. QI WANG may practise only in the areas of medicine in which Dr. WANG 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, 2011

Registration History

DETAILS DATE
Subsequent certificate of registration issued: Independent Practice Certificate Effective: 26 Feb 2014
Expired: Terms and conditions imposed on certificate by Registration Committee Effective: 25 Feb 2014
Subsequent certificate of registration issued: Restricted Certificate Effective: 16 Aug 2013
Arrow_iconTerms and conditions imposed on certificate by: Registration Committee Effective: 16 Aug 2013
Expired: Terms and conditions of certificate of registration Effective: 30 Jun 2013
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2011
DETAILS: Subsequent certificate of registration issued: Independent Practice Certificate
Date: Effective: 26 Feb 2014
DETAILS: Expired: Terms and conditions imposed on certificate by Registration Committee
Date: Effective: 25 Feb 2014
DETAILS: Subsequent certificate of registration issued: Restricted Certificate
Date: Effective: 16 Aug 2013
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 16 Aug 2013
DETAILS: Expired: Terms and conditions of certificate of registration
Date: Effective: 30 Jun 2013
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 2011