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
22/03/25 23:05:50 PM

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 1971
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jul 01 1971
CERTIFYING BODY: College of Family Physicians of Canada

Medical Records Location

Instructions/Address: Bradley Medical Centre
395 Bradley Ave.
London, ON N6E 3Z8
Tele: 519-681-3174

North Lambton Community Health
59 King St. East
Forest, ON N0N 1J0
Date Received: 03 Sep 2020

Hospital Privileges

No information available

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 1971
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jul 01 1971
CERTIFYING BODY: College of Family Physicians of Canada

Medical Records Location

Instructions/Address: Bradley Medical Centre
395 Bradley Ave.
London, ON N6E 3Z8
Tele: 519-681-3174

North Lambton Community Health
59 King St. East
Forest, ON N0N 1J0
Date Received: 03 Sep 2020

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, 1965

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 03 Sep 2020
Transfer of class of registration to: Independent Practice Certificate Effective: 19 Jul 1966
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 1965
DETAILS: Expired: Resigned from membership.
Date: Effective: 03 Sep 2020
DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 19 Jul 1966
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 1965