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Brubacher, Lloyd Elverne

CPSO#: 19951

MEMBER STATUS
Expired: Resigned from membership as of 01 Jun 2019
CPSO REGISTRATION CLASS
None as of 01 Jun 2019

Summary

Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education:The University of Western Ontario, 1965

Practice Information

Primary Location of Practice
Marian Villa
200 College Street
London ON  N6A 1Y6
Phone: (519) 646-6000 Ext. 65160 Electoral District: 02

Additional Practice Location(s)

Suite 1305
240 Villagewalk Boulevard
London ON  N6G 0P6
Canada
Phone: (519) 661-0539
County: County of Middlesex
Electoral District: 02

Professional Corporation Information


Corporation Name: Lloyd E. Brubacher Medicine Professional Corporation
Certificate of Authorization Status: Issued Date:  Jan 19 2010

Shareholders:
Dr. L. Brubacher ( CPSO# 19951 )

Business Address:
Marian Villa (Mount Hope)
200 College Avenue
London ON  N6A 1Y1
Phone Number: (519) 646-6000

Medical Records Location

Address: 36 Heritage Dr Ilderton ON N0M 2A0 or Mount Hope 200 College Ave London ON N6A 1Y1
Date Received: 14 May 2019

Specialties

Specialty Issued On Type
Family Medicine Effective: 01 Jul 1973 CFPC Specialist

Registration History

Action Issue Date
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 1965
Transfer of class of registration to: Independent Practice Certificate Effective: 28 Jun 1966
Expired: Resigned from membership. Expiry: 01 Jun 2019