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
05/12/24 23:13:34 PM

General Information

Former Name: No Former Name
Medical School: University of Ibadan College of Medicine, 1981
Gender: Man
Languages Spoken: ENGLISH, YORUBA

Practice Information

Primary Business Location: Airport Health Centre
Suite 106
3417 Derry Road East
Mississauga Ontario L4T 1A8
Business Email: No Information Available
Phone: (905) 677-0658
Fax: (905) 677-0659
Address: Doctors On Albion
Unit 6
1780 Albion Road
Toronto Ontario M9V 1C1
Phone: (416) 744-0656
Fax: (416) 744-0657

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 14 Dec 2011
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Dec 14 2011
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Tewogbola Ajisebutu Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 31 May 2012
Shareholders:
Dr. T. Ajisebutu (CPSO#: 97000 )
Business Address: Airport Health Centre
Suite 106
3417 Derry Road East
Mississauga Ontario L4T 1A8 (905) 677-0658
Business Address: Suite 6
1780 Albion Road
Toronto Ontario M9V 1C1 (416) 744-0656

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH, YORUBA
Medical School: University of Ibadan College of Medicine, 1981

Practice Information

Primary Business Location: Airport Health Centre
Suite 106
3417 Derry Road East
Mississauga Ontario L4T 1A8
Business Email: No Information Available
Phone: (905) 677-0658
Fax: (905) 677-0659
Address: Doctors On Albion
Unit 6
1780 Albion Road
Toronto Ontario M9V 1C1
Phone: (416) 744-0656
Fax: (416) 744-0657

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 14 Dec 2011
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Dec 14 2011
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Tewogbola Ajisebutu Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 31 May 2012
Shareholders:
Dr. T. Ajisebutu (CPSO#: 97000 )
Business Address: Airport Health Centre
Suite 106
3417 Derry Road East
Mississauga Ontario L4T 1A8 (905) 677-0658
Business Address: Suite 6
1780 Albion Road
Toronto Ontario M9V 1C1 (416) 744-0656

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. TEWOGBOLA SAMUEL AJISEBUTU may practise only in the areas of medicine in which Dr. AJISEBUTU is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. TEWOGBOLA SAMUEL AJISEBUTU may practise only in the areas of medicine in which Dr. AJISEBUTU 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 Ibadan College of Medicine, 1981

Registration History

DETAILS DATE
Subsequent certificate of registration issued: Independent Practice Certificate Effective: 01 Feb 2012
Expired: Terms and conditions imposed on certificate by Registration Committee Effective: 01 Feb 2012
First certificate of registration issued: Restricted Certificate Effective: 01 Nov 2011
Arrow_iconTerms and conditions imposed on certificate by: Registration Committee Effective: 01 Nov 2011
DETAILS: Subsequent certificate of registration issued: Independent Practice Certificate
Date: Effective: 01 Feb 2012
DETAILS: Expired: Terms and conditions imposed on certificate by Registration Committee
Date: Effective: 01 Feb 2012
DETAILS: First certificate of registration issued: Restricted Certificate
Date: Effective: 01 Nov 2011
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 01 Nov 2011