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
12/03/25 04:58:05 AM

General Information

Former Name: No Former Name
Medical School: Schulich School of Medicine and Dentistry, Western University, 1957
Gender: Man
Languages Spoken: ENGLISH, POLISH, UKRAINIAN

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: Patients looking to obtain a copy of their medical record may contact:
Box 228
Bala, Ontario
P0C 1A0
Date Received: 22 Apr 2013

Hospital Privileges

No information available

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH, POLISH, UKRAINIAN
Medical School: Schulich School of Medicine and Dentistry, Western University, 1957

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: Patients looking to obtain a copy of their medical record may contact:
Box 228
Bala, Ontario
P0C 1A0
Date Received: 22 Apr 2013

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: Schulich School of Medicine and Dentistry, Western University, 1957

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 17 Apr 2013
Transfer of class of registration to: Restricted Certificate Effective: 27 Jul 2011
Arrow_iconTerms and conditions imposed on certificate by: Member Effective: 27 Jul 2011
First certificate of registration issued: Independent Practice Certificate Effective: 23 Jun 1958
DETAILS: Expired: Resigned from membership.
Date: Effective: 17 Apr 2013
DETAILS: Transfer of class of registration to: Restricted Certificate
Date: Effective: 27 Jul 2011
DETAILS: Terms and conditions imposed on certificate by: Member
Date: Effective: 27 Jul 2011
DETAILS: First certificate of registration issued: Independent Practice Certificate
Date: Effective: 23 Jun 1958