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
23/01/25 00:16:25 AM

General Information

Former Name: No Former Name
Medical School: Medical University of the Americas (Belize), 2007
Gender: Man
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: Waterloo Medical Clinic
13-170 University Ave W
Waterloo Ontario N2L 3E9
Business Email: No Information Available
Phone: 519-725-1514
Fax: 519-725-5137
Address: K-W Medical Clinic
100 The Board Walk
Kitchener Ontario N2N 0B4
Phone: 519-279-4098
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 03 Mar 2011
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Mar 03 2011
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Dr. A. Mall Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 29 Mar 2019

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: Medical University of the Americas (Belize), 2007

Practice Information

Primary Business Location: Waterloo Medical Clinic
13-170 University Ave W
Waterloo Ontario N2L 3E9
Business Email: No Information Available
Phone: 519-725-1514
Fax: 519-725-5137
Address: K-W Medical Clinic
100 The Board Walk
Kitchener Ontario N2N 0B4
Phone: 519-279-4098
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 03 Mar 2011
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Mar 03 2011
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Dr. A. Mall Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 29 Mar 2019

Practice Conditions

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(1) Dr. AUSTIN MALL may practise only in the areas of medicine in which Dr. MALL is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. AUSTIN MALL may practise only in the areas of medicine in which Dr. MALL is educated and experienced.

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: Medical University of the Americas (Belize), 2007

Registration History

DETAILS DATE
Subsequent certificate of registration issued: Independent Practice Certificate Effective: 29 Jun 2011
Expired: Terms and conditions of certificate of registration Effective: 28 Feb 2011
Transfer of class of registration to: Postgraduate Education Certificate Effective: 25 May 2009
First certificate of registration issued: Pre Entry Assessment Program Certificate Effective: 01 Mar 2009
DETAILS: Subsequent certificate of registration issued: Independent Practice Certificate
Date: Effective: 29 Jun 2011

DETAILS: Expired: Terms and conditions of certificate of registration
Date: Effective: 28 Feb 2011

DETAILS: Transfer of class of registration to: Postgraduate Education Certificate
Date: Effective: 25 May 2009

DETAILS: First certificate of registration issued: Pre Entry Assessment Program Certificate
Date: Effective: 01 Mar 2009