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
19/05/26 10:51:45 AM

General Information

Former Name: No Former Name
Medical School: Schulich School of Medicine and Dentistry, Western University, 1971
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
Orthopedic Surgery
Effective: 16 Nov 1976
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Orthopedic Surgery
ISSUED ON: Effective: Nov 16 1976
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Baxter Willis Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 02 Jan 2019

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: Schulich School of Medicine and Dentistry, Western University, 1971

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
Orthopedic Surgery
Effective: 16 Nov 1976
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Orthopedic Surgery
ISSUED ON: Effective: Nov 16 1976
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Baxter Willis Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 02 Jan 2019

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, 1971

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 31 Mar 2025
Subsequent certificate of registration issued: Independent Practice Certificate Effective: 14 Jul 2004
Expired: Resigned from membership. Effective: 01 Jun 1998
Transfer of class of registration to: Independent Practice Certificate Effective: 08 Dec 1977
Subsequent certificate of registration issued: Postgraduate Education Certificate Effective: 24 Oct 1977
Expired: Terms and conditions of certificate of registration Effective: 30 Jun 1976
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 1972
DETAILS: Expired: Resigned from membership.
Date: Effective: 31 Mar 2025
DETAILS: Subsequent certificate of registration issued: Independent Practice Certificate
Date: Effective: 14 Jul 2004
DETAILS: Expired: Resigned from membership.
Date: Effective: 01 Jun 1998
DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 08 Dec 1977
DETAILS: Subsequent certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 24 Oct 1977
DETAILS: Expired: Terms and conditions of certificate of registration
Date: Effective: 30 Jun 1976
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 1972