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
14/11/24 17:46:21 PM

General Information

Former Name: No Former Name
Medical School: Schulich School of Medicine and Dentistry, Western University, 1973
Gender: Man
Languages Spoken: ENGLISH, UKRAINIAN

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: Suite 304
5400 Portage Road
Niagara Falls ON L2G 5X7

(905) 358-3434
Date Received: 08 Jun 2020

Instructions/Address: Patients seeking a copy of their medical record may contact: 5400 Portage Road, Suite 304, Niagara Falls, ON, L2G 5X7. Tel: 905-358-3434
Date Received: 27 May 2019

Hospital Privileges

No information available

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH, UKRAINIAN
Medical School: Schulich School of Medicine and Dentistry, Western University, 1973

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: Suite 304
5400 Portage Road
Niagara Falls ON L2G 5X7

(905) 358-3434
Date Received: 08 Jun 2020

Instructions/Address: Patients seeking a copy of their medical record may contact: 5400 Portage Road, Suite 304, Niagara Falls, ON, L2G 5X7. Tel: 905-358-3434
Date Received: 27 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: Schulich School of Medicine and Dentistry, Western University, 1973

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 01 Jul 2020
First certificate of registration issued: Independent Practice Certificate Effective: 26 Jun 1974
DETAILS: Expired: Resigned from membership.
Date: Effective: 01 Jul 2020

DETAILS: First certificate of registration issued: Independent Practice Certificate
Date: Effective: 26 Jun 1974