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
08/06/26 01:03:58 AM

General Information

Former Name: No Former Name
Medical School: University of Alberta Faculty of Medicine and Dentistry, 1999
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
Psychiatry
Effective: 30 Jun 2004
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Psychiatry
ISSUED ON: Effective: Jun 30 2004
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address:
295 Bulyea Rd
Edmonton AB T6R 1R8
Date Received: 14 Jun 2018

Medical Licences In Other Jurisdictions

Canada - Alberta

Hospital Privileges

No information available

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: University of Alberta Faculty of Medicine and Dentistry, 1999

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
Psychiatry
Effective: 30 Jun 2004
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Psychiatry
ISSUED ON: Effective: Jun 30 2004
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address:
295 Bulyea Rd
Edmonton AB T6R 1R8
Date Received: 14 Jun 2018

Medical Licences In Other Jurisdictions

Canada - Alberta

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: University of Alberta Faculty of Medicine and Dentistry, 1999

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 14 Jun 2018
Subsequent certificate of registration issued: Independent Practice Certificate Effective: 20 Jul 2005
Expired: Terms and conditions of certificate of registration Effective: 31 Oct 2002
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Sep 2002
DETAILS: Expired: Resigned from membership.
Date: Effective: 14 Jun 2018
DETAILS: Subsequent certificate of registration issued: Independent Practice Certificate
Date: Effective: 20 Jul 2005
DETAILS: Expired: Terms and conditions of certificate of registration
Date: Effective: 31 Oct 2002
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Sep 2002