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Boubalos, Anastasios

CPSO#: 65899

MEMBER STATUS
Active Member as of 19 Jun 1997
CURRENT OR PAST CPSO REGISTRATION CLASS
Independent Practice as of 19 Jun 1997

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English, French, Greek

Education: McGill University Faculty of Medicine an, 1987

Practice Information

Primary Location of Practice
Cornwall Community Hospital
McConnell Site
840 McConnell Avenue
Cornwall ON  K6H 5S5
Phone: 613-938-4240 Ext. 4420 Electoral District: 07

Additional Practice Location(s)

Glengarry Memorial Hospital
20260 Country Road 43
Alexandria ON  K0C 1A0
Canada
County: County of Stormont, Dundas and Glengarry
Electoral District: 07
Cornwall Radiology Associates
Suite 116
820 McConnell Avenue
Cornwall ON  K6H 4M4
Canada
Phone: (613) 933-7255
County: County of Stormont, Dundas and Glengarry
Electoral District: 07

Professional Corporation Information


Corporation Name: Boubalos Medicine Professional Corporation
Certificate of Authorization Status: Inactive: Feb 18 2011
Corporation Name: A. Boubalos Medicine Professional Corporation
Certificate of Authorization Status: Inactive: Apr 24 2015
Corporation Name: Dr. Boubalos Medicine Professional Corporation
Certificate of Authorization Status: Inactive: Mar 9 2023
Corporation Name: Boubalos Medicine Professional Corporation
Certificate of Authorization Status: Issued Date:  Nov 11 2022

Shareholders:
Dr. A. Boubalos ( CPSO# 65899 )

Business Address:
840 McConnell Ave
Cornwall Community Hospital
Cornwall ON  K6H 5S5
Phone Number: 6139384240

Business Address:
20260 County Road 43
Alexandria ON  K0C 1A0

Business Address:
116-820 McConnell Ave
Cornwall Radiology Associates Inc.
Cornwall ON  K6H 4M4
Phone Number: 6139337255


Medical Licences in Other Jurisdictions

Effective September 1, 2015, the College by-laws require the College to indicate on the register if the member has a licence or is registered to practise medicine in a jurisdiction outside Ontario, if this is known to the College.



Quebec

Hospital Privileges

Hospital Location
Cornwall Community Hospital Cornwall
Hopital Glengarry Memorial Hospital Alexandria

Specialties

Specialty Issued On Type
Diagnostic Radiology Effective:30 Jun 1994 RCPSC Specialist

Terms and Conditions

(1) Dr. ANASTASIOS BOUBALOS may practise only in the areas of medicine in which Dr. BOUBALOS is educated and experienced.

Registration History

Action Issue Date
First certificate of registration issued: Independent Practice Certificate Effective: 13 Aug 1992
Expired: Failure to Renew Membership Expiry: 17 Nov 1994
Subsequent certificate of registration Issued: Independent Practice Certificate Effective: 19 Jun 1997