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
16/07/25 06:34:44 AM

General Information

Former Name: No Former Name
Medical School: University of London, 1978
Gender: Man
Languages Spoken: ENGLISH, UKRAINIAN

Practice Information

Primary Business Location: London X-Ray Associates
Suite 104
450 Central Avenue
London Ontario N6B 2E8
Business Email: No Information Available
Phone: (519) 672-5270
Extension: 7051
Fax: (519) 672-4459

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Diagnostic Radiology
Effective: 13 Jun 1985
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Diagnostic Radiology
ISSUED ON: Effective: Jun 13 1985
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

HOSPITAL LOCATION
South Huron Hospital Association Exeter
South Bruce Grey Health Centre Walkerton Site Walkerton
South Bruce Grey Health Centre Chesley Site Chesley
Four Counties Health Services Newbury
Tillsonburg District Memorial Hospital Tillsonburg
St Joseph's Health Care, London London
Strathroy Middlesex General Hospital Strathroy
South Bruce Grey Health Centre Durham-Memorial Site Durham
Alexandra Marine and General Hospital Goderich
South Bruce Grey Health Centre Walkerton
Chatham-Kent Health Alliance Chatham
HOSPITAL: South Huron Hospital Association
LOCATION: Exeter
HOSPITAL: South Bruce Grey Health Centre Walkerton Site
LOCATION: Walkerton
HOSPITAL: South Bruce Grey Health Centre Chesley Site
LOCATION: Chesley
HOSPITAL: Four Counties Health Services
LOCATION: Newbury
HOSPITAL: Tillsonburg District Memorial Hospital
LOCATION: Tillsonburg
HOSPITAL: St Joseph's Health Care, London
LOCATION: London
HOSPITAL: Strathroy Middlesex General Hospital
LOCATION: Strathroy
HOSPITAL: South Bruce Grey Health Centre Durham-Memorial Site
LOCATION: Durham
HOSPITAL: Alexandra Marine and General Hospital
LOCATION: Goderich
HOSPITAL: South Bruce Grey Health Centre
LOCATION: Walkerton
HOSPITAL: Chatham-Kent Health Alliance
LOCATION: Chatham

Professional Corporation Information

Corporation Name: Roman Kozak Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 20 Jul 2006
Shareholders:
Dr. R. Kozak (CPSO#: 32074 )
Business Address: 440 Boler Road
London Ontario N6K 4L2 (519) 657-8246
Business Address: 104 - 450 Central Avenue
London Ontario N6B 2E8 (519) 672-7900
Business Address: 190 Wortley Road
London Ontario N6C 4Y7 (519) 438-8131
Business Address: 105 - 595 Bradley Avenue
London Ontario N6E 3Z8 (519) 913-7900
Business Address: 268 Grosvenor Street
London Ontario N6A 4V2 (519) 646-6100

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH, UKRAINIAN
Medical School: University of London, 1978

Practice Information

Primary Business Location: London X-Ray Associates
Suite 104
450 Central Avenue
London Ontario N6B 2E8
Business Email: No Information Available
Phone: (519) 672-5270
Extension: 7051
Fax: (519) 672-4459

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Diagnostic Radiology
Effective: 13 Jun 1985
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Diagnostic Radiology
ISSUED ON: Effective: Jun 13 1985
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

HOSPITAL LOCATION
South Huron Hospital Association Exeter
South Bruce Grey Health Centre Walkerton Site Walkerton
South Bruce Grey Health Centre Chesley Site Chesley
Four Counties Health Services Newbury
Tillsonburg District Memorial Hospital Tillsonburg
St Joseph's Health Care, London London
Strathroy Middlesex General Hospital Strathroy
South Bruce Grey Health Centre Durham-Memorial Site Durham
Alexandra Marine and General Hospital Goderich
South Bruce Grey Health Centre Walkerton
Chatham-Kent Health Alliance Chatham
HOSPITAL: South Huron Hospital Association
LOCATION: Exeter
HOSPITAL: South Bruce Grey Health Centre Walkerton Site
LOCATION: Walkerton
HOSPITAL: South Bruce Grey Health Centre Chesley Site
LOCATION: Chesley
HOSPITAL: Four Counties Health Services
LOCATION: Newbury
HOSPITAL: Tillsonburg District Memorial Hospital
LOCATION: Tillsonburg
HOSPITAL: St Joseph's Health Care, London
LOCATION: London
HOSPITAL: Strathroy Middlesex General Hospital
LOCATION: Strathroy
HOSPITAL: South Bruce Grey Health Centre Durham-Memorial Site
LOCATION: Durham
HOSPITAL: Alexandra Marine and General Hospital
LOCATION: Goderich
HOSPITAL: South Bruce Grey Health Centre
LOCATION: Walkerton
HOSPITAL: Chatham-Kent Health Alliance
LOCATION: Chatham

Professional Corporation Information

Corporation Name: Roman Kozak Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 20 Jul 2006
Shareholders:
Dr. R. Kozak (CPSO#: 32074 )
Business Address: 440 Boler Road
London Ontario N6K 4L2 (519) 657-8246
Business Address: 104 - 450 Central Avenue
London Ontario N6B 2E8 (519) 672-7900
Business Address: 190 Wortley Road
London Ontario N6C 4Y7 (519) 438-8131
Business Address: 105 - 595 Bradley Avenue
London Ontario N6E 3Z8 (519) 913-7900
Business Address: 268 Grosvenor Street
London Ontario N6A 4V2 (519) 646-6100

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. ROMAN IWAN KOZAK may practise only in the areas of medicine in which Dr. KOZAK is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. ROMAN IWAN KOZAK may practise only in the areas of medicine in which Dr. KOZAK is educated and experienced.

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: University of London, 1978

Registration History

DETAILS DATE
Transfer of class of registration to: Independent Practice Certificate Effective: 12 Nov 1980
First certificate of registration issued: Postgraduate Education Certificate Effective: 09 Sep 1980
DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 12 Nov 1980
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 09 Sep 1980