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
18/03/25 11:24:49 AM

General Information

Former Name: No Former Name
Medical School: University of Alberta Faculty of Medicine and Dentistry, 2000
Gender: Woman
Languages Spoken: ENGLISH, FRENCH, ITALIAN, SPANISH

Practice Information

Primary Business Location: P O Box 2966
150 Geddes Street
Elora Ontario N0B 1S0
Business Email: No Information Available
Phone: (519) 803-4718
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Psychiatry
Effective: 01 Apr 2007
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Psychiatry
ISSUED ON: Effective: Apr 01 2007
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Vivian Polak Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 24 Dec 2012
Shareholders:
Dr. V. Polak (CPSO#: 96777 )
Business Address: 150 Geddes Street
PO Box 2966
Elora Ontario N0B 1S0

General Information

Former Name: No Former Name
Gender: Woman
Languages Spoken: ENGLISH, FRENCH, ITALIAN, SPANISH
Medical School: University of Alberta Faculty of Medicine and Dentistry, 2000

Practice Information

Primary Business Location: P O Box 2966
150 Geddes Street
Elora Ontario N0B 1S0
Business Email: No Information Available
Phone: (519) 803-4718
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Psychiatry
Effective: 01 Apr 2007
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Psychiatry
ISSUED ON: Effective: Apr 01 2007
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Vivian Polak Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 24 Dec 2012
Shareholders:
Dr. V. Polak (CPSO#: 96777 )
Business Address: 150 Geddes Street
PO Box 2966
Elora Ontario N0B 1S0

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. VIVIAN ANN POLAK may practise only in the areas of medicine in which Dr. POLAK is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. VIVIAN ANN POLAK may practise only in the areas of medicine in which Dr. POLAK 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: University of Alberta Faculty of Medicine and Dentistry, 2000

Registration History

DETAILS DATE
First certificate of registration issued: Independent Practice Certificate Effective: 02 Sep 2011
DETAILS: First certificate of registration issued: Independent Practice Certificate
Date: Effective: 02 Sep 2011