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
17/03/25 05:05:18 AM

General Information

Former Name: No Former Name
Medical School: Queen's University, 1967
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
Dermatology
Effective: 19 Nov 1973
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Dermatology
ISSUED ON: Effective: Nov 19 1973
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address: 721 Chestnut Street, Manchester, NH, USA 03104
Date Received: 03 Jul 2015

Hospital Privileges

No information available

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: Queen's University, 1967

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
Dermatology
Effective: 19 Nov 1973
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Dermatology
ISSUED ON: Effective: Nov 19 1973
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address: 721 Chestnut Street, Manchester, NH, USA 03104
Date Received: 03 Jul 2015

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: Queen's University, 1967

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 03 Jul 2015
First certificate of registration issued: Independent Practice Certificate Effective: 27 Nov 1968
DETAILS: Expired: Resigned from membership.
Date: Effective: 03 Jul 2015
DETAILS: First certificate of registration issued: Independent Practice Certificate
Date: Effective: 27 Nov 1968