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
19/06/25 03:41:20 AM

General Information

Former Name: No Former Name
Medical School: University of Alberta Faculty of Medicine and Dentistry, 2002
Gender: Man
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: LHSC University Hospital
Division of Clinical Neurosciences
339 Winderemere Road
London Ontario N6A 5A5
Business Email: No Information Available
Phone: (519) 663-3628
Fax: (519) 663-3199

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Neurosurgery
Effective: 30 Jun 2008
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Neurosurgery
ISSUED ON: Effective: Jun 30 2008
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

HOSPITAL LOCATION
St Joseph's Health Care, London London
London Health Sciences Centre London
London Health Sciences Centre Children's Hospital of Western Ontario London
London Health Sciences Centre Victoria Hospital London
HOSPITAL: St Joseph's Health Care, London
LOCATION: London
HOSPITAL: London Health Sciences Centre
LOCATION: London
HOSPITAL: London Health Sciences Centre Children's Hospital of Western Ontario
LOCATION: London
HOSPITAL: London Health Sciences Centre Victoria Hospital
LOCATION: London

Professional Corporation Information

Corporation Name: Keith W. MacDougall Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 20 Dec 2017
Shareholders:
Dr. K. MacDougall (CPSO#: 78100 )
Business Address: LHSC - University Hospital
Division of Clinical Neurosciences
339 Winderemere Road
London Ontario N6A 5A5 (519) 663-3628
Corporation Name: Keith MacDougall Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 08 Mar 2018

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: University of Alberta Faculty of Medicine and Dentistry, 2002

Practice Information

Primary Business Location: LHSC University Hospital
Division of Clinical Neurosciences
339 Winderemere Road
London Ontario N6A 5A5
Business Email: No Information Available
Phone: (519) 663-3628
Fax: (519) 663-3199

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Neurosurgery
Effective: 30 Jun 2008
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Neurosurgery
ISSUED ON: Effective: Jun 30 2008
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

HOSPITAL LOCATION
St Joseph's Health Care, London London
London Health Sciences Centre London
London Health Sciences Centre Children's Hospital of Western Ontario London
London Health Sciences Centre Victoria Hospital London
HOSPITAL: St Joseph's Health Care, London
LOCATION: London
HOSPITAL: London Health Sciences Centre
LOCATION: London
HOSPITAL: London Health Sciences Centre Children's Hospital of Western Ontario
LOCATION: London
HOSPITAL: London Health Sciences Centre Victoria Hospital
LOCATION: London

Professional Corporation Information

Corporation Name: Keith W. MacDougall Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 20 Dec 2017
Shareholders:
Dr. K. MacDougall (CPSO#: 78100 )
Business Address: LHSC - University Hospital
Division of Clinical Neurosciences
339 Winderemere Road
London Ontario N6A 5A5 (519) 663-3628
Corporation Name: Keith MacDougall Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 08 Mar 2018

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. KEITH WILLIAM MACDOUGALL may practise only in the areas of medicine in which Dr. MACDOUGALL is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. KEITH WILLIAM MACDOUGALL may practise only in the areas of medicine in which Dr. MACDOUGALL 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 Alberta Faculty of Medicine and Dentistry, 2002

Registration History

DETAILS DATE
Subsequent certificate of registration issued: Independent Practice Certificate Effective: 09 Jun 2009
Expired: Terms and conditions of certificate of registration Effective: 30 Jun 2008
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2002
DETAILS: Subsequent certificate of registration issued: Independent Practice Certificate
Date: Effective: 09 Jun 2009
DETAILS: Expired: Terms and conditions of certificate of registration
Date: Effective: 30 Jun 2008
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 2002