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
22/06/26 01:10:25 AM

General Information

Former Name: No Former Name
Medical School: Medical College of Georgia, 2008
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: Weeneebayko Area Health Authority,
Weeneebayko General Hospital,
19 Hospital Dr,
Moose Factory, ON P0L 1W0
(Ph) 705-658-4544
Date Received: 31 May 2022

Medical Licences In Other Jurisdictions

USA - Georgia

Hospital Privileges

No information available

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: Medical College of Georgia, 2008

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: Weeneebayko Area Health Authority,
Weeneebayko General Hospital,
19 Hospital Dr,
Moose Factory, ON P0L 1W0
(Ph) 705-658-4544
Date Received: 31 May 2022

Medical Licences In Other Jurisdictions

USA - Georgia

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: Medical College of Georgia, 2008

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 31 May 2022
Terms and conditions amended by Registration Committee. Effective: 11 Mar 2021
First certificate of registration issued: Restricted Certificate Effective: 15 Oct 2019
Arrow_iconTerms and conditions imposed on certificate by: Registration Committee Effective: 15 Oct 2019
DETAILS: Expired: Resigned from membership.
Date: Effective: 31 May 2022
DETAILS: Terms and conditions amended by Registration Committee.
Date: Effective: 11 Mar 2021
DETAILS: First certificate of registration issued: Restricted Certificate
Date: Effective: 15 Oct 2019
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 15 Oct 2019