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Pantazis, Theodoros Demetrius

CPSO#: 110983

MEMBER STATUS
Active Member as of 27 Sep 2016
CURRENT OR PAST CPSO REGISTRATION CLASS
Restricted as of 27 Sep 2016

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English, Greek

Education: American University of the Caribbean, 2013

Practice Information

Primary Location of Practice
HealthPark Medical Clinic
140 Oxford Street East
Suite 300
London ON  N6A 5R9
Phone: 519-850-3234
Fax: 519-850-3238 Electoral District: 02

Professional Corporation Information


Corporation Name: T. Pantazis Medicine Professional Corporation
Certificate of Authorization Status: Issued Date:  Dec 01 2016

Shareholders:
Dr. T. Pantazis ( CPSO# 110983)

Business Address:
140 Oxford Street East
Suite 300
London ON  N6A 5R9
Phone Number: (519) 850-3234

Specialties

Specialty Issued On Type
Family Medicine Effective:19 Apr 2018 CPSO Recognized Specialist

Registration History

Action Issue Date
First certificate of registration issued: Restricted certificate Effective: 27 Sep 2016
Terms and conditions imposed on certificate by Registration Committee Effective: 27 Sep 2016
Expiry date attached to certificate of registration. Expiry Date: 26 Mar 2018
Terms and conditions amended by Registration Committee Effective: 16 Feb 2018
Terms and conditions amended by Registration Committee Effective: 19 Apr 2018

Practice Restrictions

Imposed By Effective Date Expiry Date Status
Registration Committee Effective: 19 Apr 2018 Active 
             Dr.  Theodoros Demetrius Pantazis may practise medicine independently in family
            medicine.