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
14/03/25 05:49:49 AM

General Information

Former Name: No Former Name
Medical School: Schulich School of Medicine and Dentistry, Western University, 1965
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

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 01 Jul 1973
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jul 01 1973
CERTIFYING BODY: College of Family Physicians of Canada

Medical Records Location

Instructions/Address: 36 Heritage Dr
Ilderton ON N0M 2A0

or

Mount Hope
200 College Ave
London ON N6A 1Y1
Date Received: 14 May 2019

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Lloyd E. Brubacher Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 15 Aug 2019

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: Schulich School of Medicine and Dentistry, Western University, 1965

Practice Information

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

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 01 Jul 1973
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jul 01 1973
CERTIFYING BODY: College of Family Physicians of Canada

Medical Records Location

Instructions/Address: 36 Heritage Dr
Ilderton ON N0M 2A0

or

Mount Hope
200 College Ave
London ON N6A 1Y1
Date Received: 14 May 2019

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Lloyd E. Brubacher Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 15 Aug 2019

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, 1965

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 01 Jun 2019
Transfer of class of registration to: Independent Practice Certificate Effective: 28 Jun 1966
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 1965
DETAILS: Expired: Resigned from membership.
Date: Effective: 01 Jun 2019
DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 28 Jun 1966
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 1965