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
01/04/26 14:47:50 PM

General Information

Former Name: No Former Name
Medical School: Queen's University, 1981
Gender: Man
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: 20-375 Edith Cavell Blvd
Port Stanley
Ontario
Port Sydney Ontario N5L 1J9
Business Email: No Information Available
Phone: No Information Available
Fax: No Information Available
Address: 44 Walnut Street
St. Thomas
Ontario
N5R 3Y8
St Thomas Ontario N5R 3Y8
Phone: No Information Available
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Psychiatry
Effective: 07 Jun 1991
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Psychiatry
ISSUED ON: Effective: Jun 07 1991
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

No information available

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: Queen's University, 1981

Practice Information

Primary Business Location: 20-375 Edith Cavell Blvd
Port Stanley
Ontario
Port Sydney Ontario N5L 1J9
Business Email: No Information Available
Phone: No Information Available
Fax: No Information Available
Address: 44 Walnut Street
St. Thomas
Ontario
N5R 3Y8
St Thomas Ontario N5R 3Y8
Phone: No Information Available
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Psychiatry
Effective: 07 Jun 1991
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Psychiatry
ISSUED ON: Effective: Jun 07 1991
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

No information available

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. JACK MACKENZIE ELLIS may practise only in the areas of medicine in which Dr. ELLIS is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. JACK MACKENZIE ELLIS may practise only in the areas of medicine in which Dr. ELLIS 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: Queen's University, 1981

Registration History

DETAILS DATE
Subsequent certificate of registration issued: Independent Practice Certificate Effective: 11 Aug 2025
Expired: Resigned from membership. Effective: 01 Jun 2023
Transfer of class of registration to: Independent Practice Certificate Effective: 02 Jul 1982
First certificate of registration issued: Postgraduate Education Certificate Effective: 22 Jun 1981
DETAILS: Subsequent certificate of registration issued: Independent Practice Certificate
Date: Effective: 11 Aug 2025
DETAILS: Expired: Resigned from membership.
Date: Effective: 01 Jun 2023
DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 02 Jul 1982
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 22 Jun 1981