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Antonissen, Ludovieus Anthony Stanley

CPSO#: 92603

MEMBER STATUS
Expired: Resigned from membership as of 01 Jun 2013
CPSO REGISTRATION CLASS
None as of 24 Mar 2010

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education:Max Rady College of Medicine, University, 1982

Practice Information

Primary Location of Practice
Practice Address Not Available

Medical Records Location

Address: Patients looking to obtain a copy of their medical record may contact: Ear Falls Health Team Box 250 25 Spruce Street Ear Falls, Ontario P0V 1T0
Date Received: 24 May 2013

Specialties

Specialty Issued On Type
No Speciality Reported

Registration History

Action Issue Date
First certificate of registration issued: Restricted certificate Effective: 24 Mar 2010
Terms and conditions imposed on certificate by Registration Committee Effective: 24 Mar 2010
Expired: Resigned from membership. Expiry: 01 Jun 2013