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
20/03/25 21:02:25 PM

General Information

Former Name: No Former Name
Medical School: Masaryk University in Brno, 2002
Gender: Man
Languages Spoken: ENGLISH, CZECH, GERMAN, SLOVAK

Practice Information

Primary Business Location: Children's Hosp of Eastern Ontario
Division of Paediatric Rheumatology
401 Smyth Road
Ottawa Ontario K1H 8L1
Business Email: No Information Available
Phone: (613) 737-7600
Extension: 1015
Fax: (613) 738-4297

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Pediatrics
Effective: 01 Nov 2008
College of Physicians and Surgeons of Ontario
SPECIALTY: Pediatrics
ISSUED ON: Effective: Nov 01 2008
CERTIFYING BODY: College of Physicians and Surgeons of Ontario

Hospital Privileges

HOSPITAL LOCATION
Children's Hospital of Eastern Ontario Ottawa
HOSPITAL: Children's Hospital of Eastern Ontario
LOCATION: Ottawa

Professional Corporation Information

Corporation Name: Jurencak Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 26 Sep 2020
Shareholders:
Dr. R. Jurencak (CPSO#: 85175 )
Business Address: Children's Hospital of Eastern of Ontario
Division of Paediatric Rheumatology
401 Smyth Road
Ottawa Ontario K1H 8L1 (613) 737-7600 Extn: 1015

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH, CZECH, GERMAN, SLOVAK
Medical School: Masaryk University in Brno, 2002

Practice Information

Primary Business Location: Children's Hosp of Eastern Ontario
Division of Paediatric Rheumatology
401 Smyth Road
Ottawa Ontario K1H 8L1
Business Email: No Information Available
Phone: (613) 737-7600
Extension: 1015
Fax: (613) 738-4297

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Pediatrics
Effective: 01 Nov 2008
College of Physicians and Surgeons of Ontario
SPECIALTY: Pediatrics
ISSUED ON: Effective: Nov 01 2008
CERTIFYING BODY: College of Physicians and Surgeons of Ontario

Hospital Privileges

HOSPITAL LOCATION
Children's Hospital of Eastern Ontario Ottawa
HOSPITAL: Children's Hospital of Eastern Ontario
LOCATION: Ottawa

Professional Corporation Information

Corporation Name: Jurencak Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 26 Sep 2020
Shareholders:
Dr. R. Jurencak (CPSO#: 85175 )
Business Address: Children's Hospital of Eastern of Ontario
Division of Paediatric Rheumatology
401 Smyth Road
Ottawa Ontario K1H 8L1 (613) 737-7600 Extn: 1015

Practice Conditions

IMPOSED BY EFFECTIVE DATE EXPIRY DATE STATUS
Registration Committee
02 Sep 2015
Restricted
IMPOSED BY: Registration Committee
EFFECTIVE DATE: Sep 02 2015
EXPIRY DATE:
STATUS: Restricted
A physician who has a restricted licence must follow specific terms and conditions in their practice.
A physician who has a restricted licence must follow specific terms and conditions in their practice.
VIEW DETAILS chevron-down icon
Dr. Roman Jurencak may practise medicine independently in paediatric
rheumatology.

VIEW DETAILS chevron-down icon
Dr. Roman Jurencak may practise medicine independently in paediatric
rheumatology.

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: Masaryk University in Brno, 2002

Registration History

DETAILS DATE
Terms and conditions amended by Registration Committee. Effective: 02 Sep 2015
Expiry date removed from certificate of registration. Effective: 02 Sep 2015
Terms and conditions amended by Registration Committee. Effective: 11 Feb 2013
Subsequent certificate of registration issued: Restricted Certificate Effective: 01 Nov 2008
Arrow_iconTerms and conditions imposed on certificate by: Registration Committee Effective: 01 Nov 2008
Expired: Terms and conditions of certificate of registration Effective: 30 Jun 2008
Transfer of class of registration to: Postgraduate Education Certificate Effective: 23 Sep 2006
First certificate of registration issued: Pre Entry Assessment Program Certificate Effective: 01 Jul 2006
DETAILS: Terms and conditions amended by Registration Committee.
Date: Effective: 02 Sep 2015
DETAILS: Expiry date removed from certificate of registration.
Date: Effective: 02 Sep 2015
DETAILS: Terms and conditions amended by Registration Committee.
Date: Effective: 11 Feb 2013
DETAILS: Subsequent certificate of registration issued: Restricted Certificate
Date: Effective: 01 Nov 2008
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 01 Nov 2008
DETAILS: Expired: Terms and conditions of certificate of registration
Date: Effective: 30 Jun 2008
DETAILS: Transfer of class of registration to: Postgraduate Education Certificate
Date: Effective: 23 Sep 2006
DETAILS: First certificate of registration issued: Pre Entry Assessment Program Certificate
Date: Effective: 01 Jul 2006