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
02/08/25 10:18:32 AM

General Information

Former Name: No Former Name
Medical School: Academy of Medicine, Gdansk, 1969
Gender: Man
Languages Spoken: ENGLISH, POLISH

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:
Copernicus Londge (LTC)
66 Roncesvalles Ave
Toronto ON M6R 3A7

White Eagle Residence (LTC)
138 Dowling Ave
Toronto ON M6K 3A6
Date Received: 09 May 2019
Instructions/Address: The medical records for Primary Practice address:
19 Harcroft Road
Toronto, ON M6S 2V8
will be stored at Records Management Ltd.
Records Management Ltd
Unit 13
1 High Meadow Place
Toronto, ON M9L 0A3
Website: www.recordsregistry.ca
Tel: 1-800-775-0093
Fax: (647) 933 2904
Date Received: 05 May 2014

Hospital Privileges

No information available

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH, POLISH
Medical School: Academy of Medicine, Gdansk, 1969

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:
Copernicus Londge (LTC)
66 Roncesvalles Ave
Toronto ON M6R 3A7

White Eagle Residence (LTC)
138 Dowling Ave
Toronto ON M6K 3A6
Date Received: 09 May 2019
Instructions/Address: The medical records for Primary Practice address:
19 Harcroft Road
Toronto, ON M6S 2V8
will be stored at Records Management Ltd.
Records Management Ltd
Unit 13
1 High Meadow Place
Toronto, ON M9L 0A3
Website: www.recordsregistry.ca
Tel: 1-800-775-0093
Fax: (647) 933 2904
Date Received: 05 May 2014

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: Academy of Medicine, Gdansk, 1969

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 01 Jun 2019
First certificate of registration issued: Independent Practice Certificate Effective: 06 Aug 1976
DETAILS: Expired: Resigned from membership.
Date: Effective: 01 Jun 2019
DETAILS: First certificate of registration issued: Independent Practice Certificate
Date: Effective: 06 Aug 1976