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
11/12/24 02:41:40 AM

General Information

Former Name: No Former Name
Medical School: University of Cambridge School of Clinical Medicine, 1964
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
Orthopedic Surgery
Effective: 17 Nov 1969
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Orthopedic Surgery
ISSUED ON: Effective: Nov 17 1969
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address:
271 Mica Point Rd
R R 3
Maberly, Ontario
K0H 2B0
Canada
Date Received: 22 Jun 2020

Instructions/Address: Paitents seeking a copy of their medical record may send a written request to: [email protected] or via mail to:
RR# 3
271 Mica Point Rd
Maberly, ON K0H 2B0

or contact Dr.Cooke via

613 - 279 - 1217
Date Received: 31 Jul 2018

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Derek Cooke Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 10 Dec 2019

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: University of Cambridge School of Clinical Medicine, 1964

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
Orthopedic Surgery
Effective: 17 Nov 1969
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Orthopedic Surgery
ISSUED ON: Effective: Nov 17 1969
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address:
271 Mica Point Rd
R R 3
Maberly, Ontario
K0H 2B0
Canada
Date Received: 22 Jun 2020

Instructions/Address: Paitents seeking a copy of their medical record may send a written request to: [email protected] or via mail to:
RR# 3
271 Mica Point Rd
Maberly, ON K0H 2B0

or contact Dr.Cooke via

613 - 279 - 1217
Date Received: 31 Jul 2018

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Derek Cooke Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 10 Dec 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: University of Cambridge School of Clinical Medicine, 1964

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 01 Jul 2020
Transfer of class of registration to: Independent Practice Certificate Effective: 20 Jun 1969
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 1964

DETAILS: Expired: Resigned from membership.
Date: Effective: 01 Jul 2020

DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 20 Jun 1969

DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 1964