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
19/01/25 09:00:50 AM

General Information

Former Name: No Former Name
Medical School: Baylor College of Medicine, 2003
Gender: Woman
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

No Specialty Reported

Medical Records Location

Instructions/Address: Records Management Ltd.
Unit 13
1 High Meadow Place
Toronto, Ontario
M9L 0A3

Tel: 1-800-775-0093
Fax: (647) 933-2904
Website: www.recordsregistry.ca
Date Received: 29 Nov 2011

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Adam Mamelak Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 14 Dec 2012

General Information

Former Name: No Former Name
Gender: Woman
Languages Spoken: ENGLISH
Medical School: Baylor College of Medicine, 2003

Practice Information

Primary Business Location: Address not Available
Business Email: No Information Available
Phone: No Information Available
Fax: No Information Available

Specialties

No Specialty Reported

Medical Records Location

Instructions/Address: Records Management Ltd.
Unit 13
1 High Meadow Place
Toronto, Ontario
M9L 0A3

Tel: 1-800-775-0093
Fax: (647) 933-2904
Website: www.recordsregistry.ca
Date Received: 29 Nov 2011

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Adam Mamelak Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 14 Dec 2012

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: Baylor College of Medicine, 2003

Registration History

DETAILS DATE
Expired: Failure to Renew Membership Effective: 13 Aug 2015
Terms and conditions amended by Registration Committee. Effective: 13 May 2010
Expiry date removed from certificate of registration. Effective: 13 May 2010
Terms and conditions amended by Registration Committee. Effective: 06 Mar 2009
First certificate of registration issued: Restricted Certificate Effective: 19 Nov 2008
Arrow_iconTerms and conditions imposed on certificate by: Registration Committee Effective: 19 Nov 2008
DETAILS: Expired: Failure to Renew Membership
Date: Effective: 13 Aug 2015
DETAILS: Terms and conditions amended by Registration Committee.
Date: Effective: 13 May 2010
DETAILS: Expiry date removed from certificate of registration.
Date: Effective: 13 May 2010
DETAILS: Terms and conditions amended by Registration Committee.
Date: Effective: 06 Mar 2009
DETAILS: First certificate of registration issued: Restricted Certificate
Date: Effective: 19 Nov 2008
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 19 Nov 2008