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
04/07/25 03:52:26 AM

General Information

Former Name: No Former Name
Medical School: University of Calgary, 2006
Gender: Woman
Languages Spoken: ENGLISH, POLISH

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
Family Medicine
Effective: 25 Jun 2008
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jun 25 2008
CERTIFYING BODY: College of Family Physicians of Canada

Medical Licences In Other Jurisdictions

Canada - Alberta
Canada - British Columbia
Canada - Nunavut

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Jacqueline Barbara Caroline Siedlecki Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 24 Mar 2017

General Information

Former Name: No Former Name
Gender: Woman
Languages Spoken: ENGLISH, POLISH
Medical School: University of Calgary, 2006

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
Family Medicine
Effective: 25 Jun 2008
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jun 25 2008
CERTIFYING BODY: College of Family Physicians of Canada

Medical Licences In Other Jurisdictions

Canada - Alberta
Canada - British Columbia
Canada - Nunavut

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Jacqueline Barbara Caroline Siedlecki Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 24 Mar 2017

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 Calgary, 2006

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 10 Feb 2017
First certificate of registration issued: Independent Practice Certificate Effective: 08 Jan 2009
DETAILS: Expired: Resigned from membership.
Date: Effective: 10 Feb 2017
DETAILS: First certificate of registration issued: Independent Practice Certificate
Date: Effective: 08 Jan 2009