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
14/08/25 21:21:42 PM

General Information

Former Name: No Former Name
Medical School: Dalhousie University Faculty of Medicine, 1973
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

SPECIALTY ISSUED ON CERTIFYING BODY
Internal Medicine
Effective: 12 Nov 1980
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Internal Medicine
ISSUED ON: Effective: Nov 12 1980
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address: St. John's Kitchen Medical Clinic
97A Victoria St N
Kitchener ON N2H 5C1
Date Received: 21 May 2019

Hospital Privileges

No information available

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: Dalhousie University Faculty of Medicine, 1973

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: 12 Nov 1980
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Internal Medicine
ISSUED ON: Effective: Nov 12 1980
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address: St. John's Kitchen Medical Clinic
97A Victoria St N
Kitchener ON N2H 5C1
Date Received: 21 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: Dalhousie University Faculty of Medicine, 1973

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 01 Jun 2019
First certificate of registration issued: Independent Practice Certificate Effective: 30 Jan 1976

DETAILS: Expired: Resigned from membership.
Date: Effective: 01 Jun 2019

DETAILS: First certificate of registration issued: Independent Practice Certificate
Date: Effective: 30 Jan 1976