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
18/01/25 01:05:39 AM

General Information

Former Name: No Former Name
Medical School: University of Calgary, 2011
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: 17 Jun 2013
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jun 17 2013
CERTIFYING BODY: College of Family Physicians of Canada

Medical Records Location

Instructions/Address: Weeneebayko General Hospital
19 Hospital Drive
Moose Factory ON P0L 1W0
Date Received: 30 May 2018

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.
Canada - Northwest Territories
Canada - Nunavut

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Jegen Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 02 Mar 2018

General Information

Former Name: No Former Name
Gender: Woman
Languages Spoken: ENGLISH, POLISH
Medical School: University of Calgary, 2011

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: 17 Jun 2013
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jun 17 2013
CERTIFYING BODY: College of Family Physicians of Canada

Medical Records Location

Instructions/Address: Weeneebayko General Hospital
19 Hospital Drive
Moose Factory ON P0L 1W0
Date Received: 30 May 2018

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.
Canada - Northwest Territories
Canada - Nunavut

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Jegen Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 02 Mar 2018

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, 2011

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 01 Jun 2018
Transfer of class of registration to: Independent Practice Certificate Effective: 21 Jun 2013
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2011
DETAILS: Expired: Resigned from membership.
Date: Effective: 01 Jun 2018
DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 21 Jun 2013
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 2011