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
07/09/25 19:36:32 PM

General Information

Former Name: No Former Name
Medical School: University of Debrecen, 2011
Gender: Woman
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: St. Joseph's Health Care
Division of Medical Imaging
268 Grosvenor St
London Ontario N6A 4V2
Business Email: No Information Available
Phone: (519) 646-6100
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Diagnostic Radiology
Effective: 01 Sep 2022
College of Physicians and Surgeons of Ontario
SPECIALTY: Diagnostic Radiology
ISSUED ON: Effective: Sep 01 2022
CERTIFYING BODY: College of Physicians and Surgeons of Ontario

Hospital Privileges

HOSPITAL LOCATION
South Bruce Grey Health Centre Walkerton Site Walkerton
South Bruce Grey Health Centre Durham-Memorial Site Durham
South Bruce Grey Health Centre Chesley Site Chesley
South Bruce Grey Health Centre Walkerton
Tillsonburg District Memorial Hospital Tillsonburg
Strathroy Middlesex General Hospital Strathroy
Four Counties Health Services Newbury
St Joseph's Health Care, London London
South Huron Hospital Association Exeter
Alexandra Marine and General Hospital Goderich
London Health Sciences Centre London
HOSPITAL: South Bruce Grey Health Centre Walkerton Site
LOCATION: Walkerton

HOSPITAL: South Bruce Grey Health Centre Durham-Memorial Site
LOCATION: Durham

HOSPITAL: South Bruce Grey Health Centre Chesley Site
LOCATION: Chesley

HOSPITAL: South Bruce Grey Health Centre
LOCATION: Walkerton

HOSPITAL: Tillsonburg District Memorial Hospital
LOCATION: Tillsonburg

HOSPITAL: Strathroy Middlesex General Hospital
LOCATION: Strathroy

HOSPITAL: Four Counties Health Services
LOCATION: Newbury

HOSPITAL: St Joseph's Health Care, London
LOCATION: London

HOSPITAL: South Huron Hospital Association
LOCATION: Exeter

HOSPITAL: Alexandra Marine and General Hospital
LOCATION: Goderich

HOSPITAL: London Health Sciences Centre
LOCATION: London

Professional Corporation Information

Corporation Name: M. Grisaru Kacen Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 20 Sep 2024
Shareholders:
Dr. M. Grisaru Kacen (CPSO#: 122257 )
Business Address: 2017 Valleyrun Boulevard
London Ontario N6G 5M8
2265591108

Corporation Name: Maya Grisaru Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 15 Jul 2025

General Information

Former Name: No Former Name
Gender: Woman
Languages Spoken: ENGLISH
Medical School: University of Debrecen, 2011

Practice Information

Primary Business Location: St. Joseph's Health Care
Division of Medical Imaging
268 Grosvenor St
London Ontario N6A 4V2
Business Email: No Information Available
Phone: (519) 646-6100
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Diagnostic Radiology
Effective: 01 Sep 2022
College of Physicians and Surgeons of Ontario
SPECIALTY: Diagnostic Radiology
ISSUED ON: Effective: Sep 01 2022
CERTIFYING BODY: College of Physicians and Surgeons of Ontario

Hospital Privileges

HOSPITAL LOCATION
South Bruce Grey Health Centre Walkerton Site Walkerton
South Bruce Grey Health Centre Durham-Memorial Site Durham
South Bruce Grey Health Centre Chesley Site Chesley
South Bruce Grey Health Centre Walkerton
Tillsonburg District Memorial Hospital Tillsonburg
Strathroy Middlesex General Hospital Strathroy
Four Counties Health Services Newbury
St Joseph's Health Care, London London
South Huron Hospital Association Exeter
Alexandra Marine and General Hospital Goderich
London Health Sciences Centre London
HOSPITAL: South Bruce Grey Health Centre Walkerton Site
LOCATION: Walkerton

HOSPITAL: South Bruce Grey Health Centre Durham-Memorial Site
LOCATION: Durham

HOSPITAL: South Bruce Grey Health Centre Chesley Site
LOCATION: Chesley

HOSPITAL: South Bruce Grey Health Centre
LOCATION: Walkerton

HOSPITAL: Tillsonburg District Memorial Hospital
LOCATION: Tillsonburg

HOSPITAL: Strathroy Middlesex General Hospital
LOCATION: Strathroy

HOSPITAL: Four Counties Health Services
LOCATION: Newbury

HOSPITAL: St Joseph's Health Care, London
LOCATION: London

HOSPITAL: South Huron Hospital Association
LOCATION: Exeter

HOSPITAL: Alexandra Marine and General Hospital
LOCATION: Goderich

HOSPITAL: London Health Sciences Centre
LOCATION: London

Professional Corporation Information

Corporation Name: M. Grisaru Kacen Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 20 Sep 2024
Shareholders:
Dr. M. Grisaru Kacen (CPSO#: 122257 )
Business Address: 2017 Valleyrun Boulevard
London Ontario N6G 5M8
2265591108

Corporation Name: Maya Grisaru Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 15 Jul 2025

Practice Conditions

IMPOSED BY EFFECTIVE DATE EXPIRY DATE STATUS
Registration Committee
19 Jan 2023
30 Jun 2026
Restricted
IMPOSED BY: Registration Committee
EFFECTIVE DATE: Jan 19 2023
EXPIRY DATE: Jun 30 2026
STATUS: Restricted
A physician who has a restricted licence must follow specific terms and conditions in their practice.
A physician who has a restricted licence must follow specific terms and conditions in their practice.
VIEW DETAILS chevron-down icon
1. Dr. MAYA GRISARU KACEN may practise medicine only,

(i) in a setting that is approved by the Chair, Department of Medical Imaging, Division of Diagnostic Radiology, Western University, in which Dr. GRISARU KACEN holds an academic appointment at the rank of Assistant Professor, and

(ii) in accordance with the requirements of her academic appointment.

2. The certificate of registration automatically expires seven years from the date of issuance or when Dr. GRISARU KACEN no longer holds the academic appointment in accordance with clause 1, whichever comes first.

3. The certificate of registration automatically expires upon the following events, unless the Registration Committee renews the certificate with or without additional or other terms, conditions and limitations:

(i) the College receives a report indicating that Dr. GRISARU KACEN’s clinical performance, knowledge, skill, judgment, professional conduct, or academic progress is unsatisfactory, or

(ii) the Committee does not receive an annual report or receives a report that is unsatisfactory in form or content, or

(iii) when the Committee makes a decision about Dr. GRISARU KACEN’s certificate of registration, following consideration of the practice assessment report.

Note: This certificate is issued on 01 September, 2022, and expires on 30 June, 2026. Upon renewal of Dr. GRISARU KACEN's academic appointment at Western University, the expiry date can be extended, subject to the limitations in paragraphs 2 and 3 above.

VIEW DETAILS chevron-down icon
1. Dr. MAYA GRISARU KACEN may practise medicine only,

(i) in a setting that is approved by the Chair, Department of Medical Imaging, Division of Diagnostic Radiology, Western University, in which Dr. GRISARU KACEN holds an academic appointment at the rank of Assistant Professor, and

(ii) in accordance with the requirements of her academic appointment.

2. The certificate of registration automatically expires seven years from the date of issuance or when Dr. GRISARU KACEN no longer holds the academic appointment in accordance with clause 1, whichever comes first.

3. The certificate of registration automatically expires upon the following events, unless the Registration Committee renews the certificate with or without additional or other terms, conditions and limitations:

(i) the College receives a report indicating that Dr. GRISARU KACEN’s clinical performance, knowledge, skill, judgment, professional conduct, or academic progress is unsatisfactory, or

(ii) the Committee does not receive an annual report or receives a report that is unsatisfactory in form or content, or

(iii) when the Committee makes a decision about Dr. GRISARU KACEN’s certificate of registration, following consideration of the practice assessment report.

Note: This certificate is issued on 01 September, 2022, and expires on 30 June, 2026. Upon renewal of Dr. GRISARU KACEN's academic appointment at Western University, the expiry date can be extended, subject to the limitations in paragraphs 2 and 3 above.

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: University of Debrecen, 2011

Registration History

DETAILS DATE
Expiry date attached to certificate of registration. Expiry: 30 Jun 2026
Subsequent certificate of registration issued: Restricted Certificate Effective: 01 Sep 2022
Transfer of class of registration to: Postgraduate Education Certificate Effective: 17 Sep 2020
First certificate of registration issued: Pre Entry Assessment Program Certificate Effective: 06 Jul 2020
DETAILS: Expiry date attached to certificate of registration.
Date: Expiry: 30 Jun 2026

DETAILS: Subsequent certificate of registration issued: Restricted Certificate
Date: Effective: 01 Sep 2022
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 01 Sep 2022

DETAILS: Transfer of class of registration to: Postgraduate Education Certificate
Date: Effective: 17 Sep 2020

DETAILS: First certificate of registration issued: Pre Entry Assessment Program Certificate
Date: Effective: 06 Jul 2020