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
22/01/25 23:46:59 PM

General Information

Former Name: No Former Name
Medical School: Ohio State University, 1977
Gender: Man
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
Family Medicine
Effective: 22 Aug 2014
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Aug 22 2014
CERTIFYING BODY: College of Family Physicians of Canada

Medical Records Location

Instructions/Address: Kincardine Community Medical Clinic, 44 Queen Street, Kincardine, ON, N2Z 3C1
Date Received: 02 Jun 2016

Medical Licences In Other Jurisdictions

Effective September 1, 2015, the College by-laws require the College to indicate on the register if the member has a licence or is registered to practise medicine in a jurisdiction outside Ontario, if this is known to the College.
USA - Ohio

Hospital Privileges

No information available

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: Ohio State University, 1977

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: 22 Aug 2014
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Aug 22 2014
CERTIFYING BODY: College of Family Physicians of Canada

Medical Records Location

Instructions/Address: Kincardine Community Medical Clinic, 44 Queen Street, Kincardine, ON, N2Z 3C1
Date Received: 02 Jun 2016

Medical Licences In Other Jurisdictions

Effective September 1, 2015, the College by-laws require the College to indicate on the register if the member has a licence or is registered to practise medicine in a jurisdiction outside Ontario, if this is known to the College.
USA - Ohio

Hospital Privileges

No information available

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: Ohio State University, 1977

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 02 Jun 2016
Terms and conditions amended by Registration Committee. Effective: 07 Mar 2013
Expiry date removed from certificate of registration. Effective: 07 Mar 2013
Terms and conditions amended by Registration Committee. Effective: 11 Apr 2012
Terms and conditions amended by Registration Committee. Effective: 17 Feb 2012
Expiry date removed from certificate of registration. Effective: 17 Feb 2012
First certificate of registration issued: Restricted Certificate Effective: 01 Aug 2010
Arrow_iconTerms and conditions imposed on certificate by: Registration Committee Effective: 01 Aug 2010
DETAILS: Expired: Resigned from membership.
Date: Effective: 02 Jun 2016
DETAILS: Terms and conditions amended by Registration Committee.
Date: Effective: 07 Mar 2013
DETAILS: Expiry date removed from certificate of registration.
Date: Effective: 07 Mar 2013
DETAILS: Terms and conditions amended by Registration Committee.
Date: Effective: 11 Apr 2012
DETAILS: Terms and conditions amended by Registration Committee.
Date: Effective: 17 Feb 2012
DETAILS: Expiry date removed from certificate of registration.
Date: Effective: 17 Feb 2012
DETAILS: First certificate of registration issued: Restricted Certificate
Date: Effective: 01 Aug 2010
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 01 Aug 2010