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
24/06/25 05:01:23 AM

General Information

Former Name: No Former Name
Medical School: Queen's University, 1970
Gender: Man
Languages Spoken: ENGLISH, SPANISH

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: 03 Nov 1991
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Nov 03 1991
CERTIFYING BODY: College of Family Physicians of Canada

Medical Records Location

Instructions/Address: Hawthorne Medical Clinic
1201 Queen Street
Kincardine ON N2Z 3C1
Tel: (519) 396-6749
Date Received: 30 May 2019

Hospital Privileges

No information available

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH, SPANISH
Medical School: Queen's University, 1970

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: 03 Nov 1991
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Nov 03 1991
CERTIFYING BODY: College of Family Physicians of Canada

Medical Records Location

Instructions/Address: Hawthorne Medical Clinic
1201 Queen Street
Kincardine ON N2Z 3C1
Tel: (519) 396-6749
Date Received: 30 May 2019

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, 1970

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 01 Jun 2019
Transfer of class of registration to: Independent Practice Certificate Effective: 28 Aug 1979
Transfer of class of registration to: Restricted Certificate Effective: 01 Mar 1978
Transfer of class of registration to: Independent Practice Certificate Effective: 01 Jun 1971
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jun 1970
DETAILS: Expired: Resigned from membership.
Date: Effective: 01 Jun 2019

DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 28 Aug 1979

DETAILS: Transfer of class of registration to: Restricted Certificate
Date: Effective: 01 Mar 1978
DETAILS: Terms and conditions imposed on certificate
Date: Effective: 01 Mar 1978

DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 01 Jun 1971

DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jun 1970