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 03:47:28 AM

General Information

Former Name: No Former Name
Medical School: McGill University Faculty of Medicine and Health Sciences, 1962
Gender: Non-Binary
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
Internal Medicine
Effective: 10 Mar 1971
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Internal Medicine
ISSUED ON: Effective: Mar 10 1971
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address: Kingston General Hospital
76 Stuart St
Kingston ON K7L 2V7
Date Received: 18 May 2021
Instructions/Address: 53 Kensington Ave
Kingston ON K7L 4B4
Date Received: 18 May 2021
Instructions/Address: 53 Kensington Ave
Kingston, ON
K7L 4B4
Date Received: 18 May 2021

Hospital Privileges

No information available

General Information

Former Name: No Former Name
Gender: Non-Binary
Languages Spoken: ENGLISH
Medical School: McGill University Faculty of Medicine and Health Sciences, 1962

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
Internal Medicine
Effective: 10 Mar 1971
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Internal Medicine
ISSUED ON: Effective: Mar 10 1971
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address: Kingston General Hospital
76 Stuart St
Kingston ON K7L 2V7
Date Received: 18 May 2021
Instructions/Address: 53 Kensington Ave
Kingston ON K7L 4B4
Date Received: 18 May 2021
Instructions/Address: 53 Kensington Ave
Kingston, ON
K7L 4B4
Date Received: 18 May 2021

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: McGill University Faculty of Medicine and Health Sciences, 1962

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 18 May 2021
First certificate of registration issued: Independent Practice Certificate Effective: 06 Aug 1969
DETAILS: Expired: Resigned from membership.
Date: Effective: 18 May 2021
DETAILS: First certificate of registration issued: Independent Practice Certificate
Date: Effective: 06 Aug 1969