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
14/03/25 06:28:10 AM

General Information

Former Name: No Former Name
Medical School: Saint James School of Medicine, 2010
Gender: Man
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: Atkinson Medical Centre
531 Atkinson Ave
Unit 17
Thornhill Ontario L4J 8L7
Business Email: No Information Available
Phone: (905) 731-5554
Fax: (905) 709-7722
Address: 102-2737 keele street
Regent Medical Clinic
North York On M3M 2E9
Phone: 416-398-0707
Fax: 416-398-8008

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 15 Dec 2015
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Dec 15 2015
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Dr. Revital Wanono Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 28 Jun 2013
Shareholders:
Dr. D. Klein (CPSO#: 99666 ) Dr. R. Wanono (CPSO#: 86070 )
Business Address: Mississauga Lung Health Centre
214 - 89 Queensway West
Mississauga Ontario L5B 2V2 (905) 848-6079
Business Address: 150 Sherway Drive
Etobicoke Ontario M9C 1A5 (416) 521-4196
Business Address: 531 Atkinson Aveune
Thornhill Ontario L4J 8L7 (905) 731-5554
Business Address: 100 Queensway West
Mississauga Ontario L5B 1B8 (905) 848-7100

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: Saint James School of Medicine, 2010

Practice Information

Primary Business Location: Atkinson Medical Centre
531 Atkinson Ave
Unit 17
Thornhill Ontario L4J 8L7
Business Email: No Information Available
Phone: (905) 731-5554
Fax: (905) 709-7722
Address: 102-2737 keele street
Regent Medical Clinic
North York On M3M 2E9
Phone: 416-398-0707
Fax: 416-398-8008

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 15 Dec 2015
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Dec 15 2015
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Dr. Revital Wanono Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 28 Jun 2013
Shareholders:
Dr. D. Klein (CPSO#: 99666 ) Dr. R. Wanono (CPSO#: 86070 )
Business Address: Mississauga Lung Health Centre
214 - 89 Queensway West
Mississauga Ontario L5B 2V2 (905) 848-6079
Business Address: 150 Sherway Drive
Etobicoke Ontario M9C 1A5 (416) 521-4196
Business Address: 531 Atkinson Aveune
Thornhill Ontario L4J 8L7 (905) 731-5554
Business Address: 100 Queensway West
Mississauga Ontario L5B 1B8 (905) 848-7100

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. DAVID KLEIN may practise only in the areas of medicine in which Dr. KLEIN is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. DAVID KLEIN may practise only in the areas of medicine in which Dr. KLEIN 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: Saint James School of Medicine, 2010

Registration History

DETAILS DATE
Subsequent certificate of registration issued: Independent Practice Certificate Effective: 12 Aug 2016
Expired: Terms and conditions of certificate of registration Effective: 21 Aug 2013
Subsequent certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2013
Expired: Terms and conditions of certificate of registration Effective: 06 Feb 2013
First certificate of registration issued: Postgraduate Education Certificate Effective: 13 Dec 2012
DETAILS: Subsequent certificate of registration issued: Independent Practice Certificate
Date: Effective: 12 Aug 2016
DETAILS: Expired: Terms and conditions of certificate of registration
Date: Effective: 21 Aug 2013
DETAILS: Subsequent certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 2013
DETAILS: Expired: Terms and conditions of certificate of registration
Date: Effective: 06 Feb 2013
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 13 Dec 2012