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
07/04/26 04:22:32 AM

General Information

Former Name: No Former Name
Medical School: McGill University Faculty of Medicine and Health Sciences, 1972
Gender: Man
Languages Spoken: ENGLISH, FRENCH, UKRAINIAN

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: 01 Jul 1979
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jul 01 1979
CERTIFYING BODY: College of Family Physicians of Canada

Medical Records Location

Instructions/Address: 101 - 4465 Sources Blvd
Roxboro, QC H8Y 3C1
Date Received: 25 Jul 2019

Medical Licences In Other Jurisdictions

Canada - Quebec

Hospital Privileges

No information available

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH, FRENCH, UKRAINIAN
Medical School: McGill University Faculty of Medicine and Health Sciences, 1972

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: 01 Jul 1979
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jul 01 1979
CERTIFYING BODY: College of Family Physicians of Canada

Medical Records Location

Instructions/Address: 101 - 4465 Sources Blvd
Roxboro, QC H8Y 3C1
Date Received: 25 Jul 2019

Medical Licences In Other Jurisdictions

Canada - Quebec

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: McGill University Faculty of Medicine and Health Sciences, 1972

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 24 Jul 2019
First certificate of registration issued: Independent Practice Certificate Effective: 04 May 1990
DETAILS: Expired: Resigned from membership.
Date: Effective: 24 Jul 2019
DETAILS: First certificate of registration issued: Independent Practice Certificate
Date: Effective: 04 May 1990