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
21/08/25 19:22:26 PM

General Information

Former Name: No Former Name
Medical School: Schulich School of Medicine and Dentistry, Western University, 1975
Gender: Man
Languages Spoken: ENGLISH, GERMAN

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: 13 Aug 2010
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Aug 13 2010
CERTIFYING BODY: College of Family Physicians of Canada

Medical Records Location

Instructions/Address: Norfolk Family Medical
305 - 85 Norfolk St
Guelph, ON N1H 6J1

Telephone: 519-836-9440
Date Received: 27 Dec 2019

Hospital Privileges

No information available

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH, GERMAN
Medical School: Schulich School of Medicine and Dentistry, Western University, 1975

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: 13 Aug 2010
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Aug 13 2010
CERTIFYING BODY: College of Family Physicians of Canada

Medical Records Location

Instructions/Address: Norfolk Family Medical
305 - 85 Norfolk St
Guelph, ON N1H 6J1

Telephone: 519-836-9440
Date Received: 27 Dec 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, 1975

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 27 Dec 2019
Transfer of class of registration to: Independent Practice Certificate Effective: 22 Jun 1976
First certificate of registration issued: Postgraduate Education Certificate Effective: 15 Jun 1975
DETAILS: Expired: Resigned from membership.
Date: Effective: 27 Dec 2019
DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 22 Jun 1976
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 15 Jun 1975