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
14/05/26 14:24:02 PM

General Information

Former Name: No Former Name
Medical School: Universidade Federal de Sao Paulo, 2010
Gender: Man
Languages Spoken: ENGLISH, PORTUGUESE

Practice Information

Primary Business Location: Address not Available
Business Email: No Information Available
Phone: No Information Available
Fax: No Information Available

Specialties

No Specialty Reported

Medical Records Location

Instructions/Address: 339 Windermere Rd
London ON N6G 2V4
Date Received: 25 Jun 2019

Hospital Privileges

No information available

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH, PORTUGUESE
Medical School: Universidade Federal de Sao Paulo, 2010

Practice Information

Primary Business Location: Address not Available
Business Email: No Information Available
Phone: No Information Available
Fax: No Information Available

Specialties

No Specialty Reported

Medical Records Location

Instructions/Address: 339 Windermere Rd
London ON N6G 2V4
Date Received: 25 Jun 2019

Hospital Privileges

No information available

Practice Conditions

This physician is inactive (Expired, Resigned, Suspended, Revoked, or Deceased) and is not permitted to practise medicine.
This physician is inactive (Expired, Resigned, Suspended, Revoked, or Deceased) and is not permitted to practise medicine.

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: Universidade Federal de Sao Paulo, 2010

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 25 Jun 2019
Subsequent certificate of registration issued: Restricted Certificate Effective: 01 Feb 2019
Expired: Terms and conditions of certificate of registration Effective: 31 Jan 2019
Transfer of class of registration to: Postgraduate Education Certificate Effective: 16 Sep 2016
First certificate of registration issued: Pre Entry Assessment Program Certificate Effective: 01 Jul 2016
DETAILS: Expired: Resigned from membership.
Date: Effective: 25 Jun 2019

DETAILS: Subsequent certificate of registration issued: Restricted Certificate
Date: Effective: 01 Feb 2019
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 01 Feb 2019

DETAILS: Expired: Terms and conditions of certificate of registration
Date: Effective: 31 Jan 2019

DETAILS: Transfer of class of registration to: Postgraduate Education Certificate
Date: Effective: 16 Sep 2016

DETAILS: First certificate of registration issued: Pre Entry Assessment Program Certificate
Date: Effective: 01 Jul 2016