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
18/03/26 04:38:38 AM

General Information

Former Name: No Former Name
Medical School: Jagiellonian University Medical College, 1984
Gender: Man
Languages Spoken: ENGLISH, POLISH

Practice Information

Primary Business Location: 595 Wonderland Rd N
London ON N6H 3E2
Business Email: No Information Available
Phone: 5196728618
Fax: No Information Available
Address: 1295 Riverbend Rd
London ON N6K 0G2
Phone: 5194321919
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 01 Apr 2012
College of Physicians and Surgeons of Ontario
SPECIALTY: Family Medicine
ISSUED ON: Effective: Apr 01 2012
CERTIFYING BODY: College of Physicians and Surgeons of Ontario

Medical Records Location

Instructions/Address: Patients should contact RSRS at 1-888-563-3732
Date Received: 12 Mar 2021

Hospital Privileges

No information available

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH, POLISH
Medical School: Jagiellonian University Medical College, 1984

Practice Information

Primary Business Location: 595 Wonderland Rd N
London ON N6H 3E2
Business Email: No Information Available
Phone: 5196728618
Fax: No Information Available
Address: 1295 Riverbend Rd
London ON N6K 0G2
Phone: 5194321919
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 01 Apr 2012
College of Physicians and Surgeons of Ontario
SPECIALTY: Family Medicine
ISSUED ON: Effective: Apr 01 2012
CERTIFYING BODY: College of Physicians and Surgeons of Ontario

Medical Records Location

Instructions/Address: Patients should contact RSRS at 1-888-563-3732
Date Received: 12 Mar 2021

Hospital Privileges

No information available

Practice Conditions

IMPOSED BY EFFECTIVE DATE EXPIRY DATE STATUS
Registration Committee
01 Jan 2026
Provisional
IMPOSED BY: Registration Committee
EFFECTIVE DATE: 01 Jan 2026
EXPIRY DATE:
STATUS: Provisional
A physician who has a provisional licence must follow specific terms and conditions in their practice.
A physician who has a provisional licence must follow specific terms and conditions in their practice.
VIEW DETAILS chevron-down icon
Dr. Henryk Czeslaw Pietrus may practise medicine independently in family
medicine, only.
VIEW DETAILS chevron-down icon
Dr. Henryk Czeslaw Pietrus may practise medicine independently in 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, 1984

Registration History

DETAILS DATE
Subsequent certificate of registration issued: Provisional Certificate Effective: 01 Jan 2026
Arrow_iconTerms and conditions imposed on certificate by: Registration Committee Effective: 01 Jan 2026
Terms and conditions amended by Registration Committee. Effective: 12 Jul 2013
Expiry date removed from certificate of registration. Effective: 12 Jul 2013
First certificate of registration issued: Restricted Certificate Effective: 01 Apr 2012
Arrow_iconTerms and conditions imposed on certificate by: Registration Committee Effective: 01 Apr 2012
DETAILS: Subsequent certificate of registration issued: Provisional Certificate
Date: Effective: 01 Jan 2026
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 01 Jan 2026
DETAILS: Terms and conditions amended by Registration Committee.
Date: Effective: 12 Jul 2013
DETAILS: Expiry date removed from certificate of registration.
Date: Effective: 12 Jul 2013
DETAILS: First certificate of registration issued: Restricted Certificate
Date: Effective: 01 Apr 2012
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 01 Apr 2012