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
18/06/25 05:40:50 AM

General Information

Former Name: No Former Name
Medical School: Ohio Univ College of Osteopathic Med, 2004
Gender: Man
Languages Spoken: ENGLISH

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: Thunder Bay Regional Health Sciences Center
980 Oliver Road
Thunder Bay ON P7B 6V4
Date Received: 01 Nov 2019

Medical Licences In Other Jurisdictions

Effective September 1, 2015, the College by-laws require the College to indicate on the register if the member has a licence or is registered to practise medicine in a jurisdiction outside Ontario, if this is known to the College.
USA - Iowa
USA - Minnesota

Hospital Privileges

No information available

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: Ohio Univ College of Osteopathic Med, 2004

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: Thunder Bay Regional Health Sciences Center
980 Oliver Road
Thunder Bay ON P7B 6V4
Date Received: 01 Nov 2019

Medical Licences In Other Jurisdictions

Effective September 1, 2015, the College by-laws require the College to indicate on the register if the member has a licence or is registered to practise medicine in a jurisdiction outside Ontario, if this is known to the College.
USA - Iowa
USA - Minnesota

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: Ohio Univ College of Osteopathic Med, 2004

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 22 Dec 2019
First certificate of registration issued: Restricted Certificate Effective: 17 Jul 2018
Arrow_iconTerms and conditions imposed on certificate by: Registration Committee Effective: 17 Jul 2018
DETAILS: Expired: Resigned from membership.
Date: Effective: 22 Dec 2019
DETAILS: First certificate of registration issued: Restricted Certificate
Date: Effective: 17 Jul 2018
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 17 Jul 2018