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
03/04/26 01:16:45 AM

General Information

Former Name: No Former Name
Medical School: Kasturba Medical College, 2000
Gender: Man
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: 6-737 Golf Links Rd
Unit 6A
Ancaster ON L9K 1L5
Business Email: No Information Available
Phone: (289) 239-8216
Fax: (289) 239-7746

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 12 Feb 2015
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Feb 12 2015
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Dr. Justin Samuel Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 30 Sep 2020
Shareholders:
Dr. J. Samuel (CPSO#: 87931 )
Business Address: 1015 Golf Links Road
Ancaster Ontario L9K 1L6 (289) 239-8216

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: Kasturba Medical College, 2000

Practice Information

Primary Business Location: 6-737 Golf Links Rd
Unit 6A
Ancaster ON L9K 1L5
Business Email: No Information Available
Phone: (289) 239-8216
Fax: (289) 239-7746

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 12 Feb 2015
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Feb 12 2015
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Dr. Justin Samuel Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 30 Sep 2020
Shareholders:
Dr. J. Samuel (CPSO#: 87931 )
Business Address: 1015 Golf Links Road
Ancaster Ontario L9K 1L6 (289) 239-8216

Practice Conditions

IMPOSED BY EFFECTIVE DATE EXPIRY DATE STATUS
Registration Committee
01 Jan 2026
Provisional
IMPOSED BY: Registration Committee
EFFECTIVE DATE: 01 Jan 2026
EXPIRY DATE:
STATUS: Provisional
A physician who has a provisional licence must follow specific terms and conditions in their practice.
A physician who has a provisional licence must follow specific terms and conditions in their practice.
VIEW DETAILS chevron-down icon
Dr. Justin Varghese Samuel may practise medicine independently in family
medicine, only.
VIEW DETAILS chevron-down icon
Dr. Justin Varghese Samuel may practise medicine independently in family
medicine, only.

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: Kasturba Medical College, 2000

Registration History

DETAILS DATE
Subsequent certificate of registration issued: Provisional Certificate Effective: 01 Jan 2026
Arrow_iconTerms and conditions imposed on certificate by: Registration Committee Effective: 01 Jan 2026
Terms and conditions amended by Registration Committee. Effective: 03 Feb 2011
Expiry date removed from certificate of registration. Effective: 03 Feb 2011
Expired: Terms and conditions imposed on certificate by Registration Committee Effective: 20 Oct 2009
Subsequent certificate of registration issued: Restricted Certificate Effective: 20 Oct 2009
Arrow_iconTerms and conditions imposed on certificate by: Registration Committee Effective: 20 Oct 2009
First certificate of registration issued: Restricted Certificate Effective: 18 Dec 2007
Arrow_iconTerms and conditions imposed on certificate by: Registration Committee Effective: 18 Dec 2007
DETAILS: Subsequent certificate of registration issued: Provisional Certificate
Date: Effective: 01 Jan 2026
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 01 Jan 2026
DETAILS: Terms and conditions amended by Registration Committee.
Date: Effective: 03 Feb 2011
DETAILS: Expiry date removed from certificate of registration.
Date: Effective: 03 Feb 2011
DETAILS: Expired: Terms and conditions imposed on certificate by Registration Committee
Date: Effective: 20 Oct 2009
DETAILS: Subsequent certificate of registration issued: Restricted Certificate
Date: Effective: 20 Oct 2009
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 20 Oct 2009
DETAILS: First certificate of registration issued: Restricted Certificate
Date: Effective: 18 Dec 2007
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 18 Dec 2007