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
07/11/24 17:08:50 PM

General Information

Former Name: No Former Name
Medical School: University of Toronto, 1971
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

No Specialty Reported

Medical Records Location

Instructions/Address: Medical records storage facility: Records management Ltd.
Paitents looking to obtain copies of their medical charts should contact toll free:
1-800-775-0093

www.recordsregistry.ca

or

13 - 1 High Meadow Place
Toronto ON M9L 0A3
Date Received: 04 Jul 2019

Instructions/Address: Contact Records Management Ltd. at 1-800-775-0093
Date Received: 03 Jun 2019

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Michael Shupak Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 17 Mar 2021

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: University of Toronto, 1971

Practice Information

Primary Business Location: Address not Available
Business Email: No Information Available
Phone: No Information Available
Fax: No Information Available

Specialties

No Specialty Reported

Medical Records Location

Instructions/Address: Medical records storage facility: Records management Ltd.
Paitents looking to obtain copies of their medical charts should contact toll free:
1-800-775-0093

www.recordsregistry.ca

or

13 - 1 High Meadow Place
Toronto ON M9L 0A3
Date Received: 04 Jul 2019

Instructions/Address: Contact Records Management Ltd. at 1-800-775-0093
Date Received: 03 Jun 2019

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Michael Shupak Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 17 Mar 2021

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 Toronto, 1971

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 17 Aug 2020
Transfer of class of registration to: Restricted Certificate Effective: 05 Feb 2020
First certificate of registration issued: Independent Practice Certificate Effective: 10 Jul 1972
DETAILS: Expired: Resigned from membership.
Date: Effective: 17 Aug 2020

DETAILS: Transfer of class of registration to: Restricted Certificate
Date: Effective: 05 Feb 2020
DETAILS: Terms and conditions imposed on certificate by: Member
Date: Effective: 05 Feb 2020

DETAILS: First certificate of registration issued: Independent Practice Certificate
Date: Effective: 10 Jul 1972