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
05/02/25 06:07:30 AM

General Information

Former Name: No Former Name
Medical School: Jagiellonian University Medical College, 1983
Gender: Man
Languages Spoken: ENGLISH, POLISH

Practice Information

Primary Business Location: 100 The Boardwalk
Kitchener ON N2N 0B1
Business Email: No Information Available
Phone: 5192794098
Fax: 5192794099

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 29 May 2017
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: May 29 2017
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Andrew Kiellerman Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 21 Nov 2023

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH, POLISH
Medical School: Jagiellonian University Medical College, 1983

Practice Information

Primary Business Location: 100 The Boardwalk
Kitchener ON N2N 0B1
Business Email: No Information Available
Phone: 5192794098
Fax: 5192794099

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 29 May 2017
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: May 29 2017
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Andrew Kiellerman Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 21 Nov 2023

Practice Conditions

IMPOSED BY EFFECTIVE DATE EXPIRY DATE STATUS
Member
10 May 2023
Restricted
IMPOSED BY: Member
EFFECTIVE DATE: May 10 2023
EXPIRY DATE:
STATUS: Restricted
A physician who has a restricted licence must follow specific terms and conditions in their practice.
A physician who has a restricted licence must follow specific terms and conditions in their practice.
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The certificate of registration held by Dr. Andrew John Kiellerman also carries the following term, condition and limitation imposed by the Registration Committee, effective November 25, 2011:

Dr. Andrew John Kiellerman may practise medicine independently in General/Family Medicine, only.
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The certificate of registration held by Dr. Andrew John Kiellerman also carries the following term, condition and limitation imposed by the Registration Committee, effective November 25, 2011:

Dr. Andrew John Kiellerman may practise medicine independently in General/Family Medicine, only.

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: Jagiellonian University Medical College, 1983

Registration History

DETAILS DATE
Terms and conditions amended by Member. Effective: 01 Oct 2024
Terms and conditions amended by Member. Effective: 10 May 2023
Terms and conditions amended by Member. Effective: 09 Aug 2017
First certificate of registration issued: Restricted Certificate Effective: 25 Nov 2011
Arrow_iconTerms and conditions imposed on certificate by: Registration Committee Effective: 25 Nov 2011
DETAILS: Terms and conditions amended by Member.
Date: Effective: 01 Oct 2024
DETAILS: Terms and conditions amended by Member.
Date: Effective: 10 May 2023
DETAILS: Terms and conditions amended by Member.
Date: Effective: 09 Aug 2017
DETAILS: First certificate of registration issued: Restricted Certificate
Date: Effective: 25 Nov 2011
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 25 Nov 2011