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
08/07/25 06:57:55 AM

General Information

Former Name: No Former Name
Medical School: University of British Columbia Faculty of Medicine, 2009
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

SPECIALTY ISSUED ON CERTIFYING BODY
Plastic Surgery
Effective: 30 Jun 2015
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Plastic Surgery
ISSUED ON: Effective: Jun 30 2015
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address: Patients seeking a copy of their medical record may write to Dr. Reid Chambers at The Medical Arts Clinic, 301-272 Charlotte Street, Peterborough, ON, K9J 2V4; 705-876-9003 (phone), 705-874-5410 (fax)
Date Received: 10 Nov 2020
Instructions/Address: 301-272 Charlotte St
Peterborough ON K9J 2V4
Date Received: 14 May 2019

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: J.A. Klok Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 15 Aug 2019

General Information

Former Name: No Former Name
Gender: Woman
Languages Spoken: ENGLISH
Medical School: University of British Columbia Faculty of Medicine, 2009

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
Plastic Surgery
Effective: 30 Jun 2015
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Plastic Surgery
ISSUED ON: Effective: Jun 30 2015
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address: Patients seeking a copy of their medical record may write to Dr. Reid Chambers at The Medical Arts Clinic, 301-272 Charlotte Street, Peterborough, ON, K9J 2V4; 705-876-9003 (phone), 705-874-5410 (fax)
Date Received: 10 Nov 2020
Instructions/Address: 301-272 Charlotte St
Peterborough ON K9J 2V4
Date Received: 14 May 2019

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: J.A. Klok Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 15 Aug 2019

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 British Columbia Faculty of Medicine, 2009

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 01 Jun 2019
Transfer of class of registration to: Independent Practice Certificate Effective: 30 Jun 2015
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2010
DETAILS: Expired: Resigned from membership.
Date: Effective: 01 Jun 2019
DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 30 Jun 2015
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 2010