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 03:57:52 AM

General Information

Former Name: No Former Name
Medical School: University of Airlangga, 1967
Gender: Man
Languages Spoken: ENGLISH, DUTCH, INDONESIAN

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: 01 Jul 1973
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jul 01 1973
CERTIFYING BODY: College of Family Physicians of Canada

Medical Records Location

Instructions/Address: O'Connor Family Practice & Walk In
942 O'Connor Drive
Toronto ON M4B 2S7
Tele: 416 755 8281
Date Received: 18 Dec 2019

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Dr. Kian G. Sie Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 08 May 2020

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH, DUTCH, INDONESIAN
Medical School: University of Airlangga, 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
Family Medicine
Effective: 01 Jul 1973
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jul 01 1973
CERTIFYING BODY: College of Family Physicians of Canada

Medical Records Location

Instructions/Address: O'Connor Family Practice & Walk In
942 O'Connor Drive
Toronto ON M4B 2S7
Tele: 416 755 8281
Date Received: 18 Dec 2019

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Dr. Kian G. Sie Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 08 May 2020

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 Airlangga, 1967

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 02 Jan 2020
First certificate of registration issued: Independent Practice Certificate Effective: 14 Aug 1972
DETAILS: Expired: Resigned from membership.
Date: Effective: 02 Jan 2020
DETAILS: First certificate of registration issued: Independent Practice Certificate
Date: Effective: 14 Aug 1972