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Antonenko, Alexander

CPSO#: 94655

MEMBER STATUS

Active Member as of 09 Dec 2010

CURRENT OR PAST CPSO REGISTRATION CLASS

Restricted as of 09 Dec 2010

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English, Hebrew, Ukrainian

Education: Crimean State Medical University, 1995

Practice Information

Primary Location of Practice

Unit #6
10660 Yonge Street
Richmond Hill ON L4C 3C9
Phone: (905) 237-1755
Fax: (905) 597-7844 Electoral District: 05

Professional Corporation Information

Corporation Name: Dr. Antonenko Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: May 06 2013

Shareholders:
Dr. A. Antonenko ( CPSO# 94655 )
Dr. I. Polyakov ( CPSO# 100025)

Business Address:
6 - 10660 Yonge Street
Richmond Hill ON L4C 3C9
Phone Number: (905) 237-1755

Hospital Privileges

Hospital	Location
Cortellucci Vaughan Hospital	Vaughan
Mackenzie Health	Richmond Hill
Southlake Regional Health Centre	Newmarket

Specialties

Specialty	Issued On	Type
Family Medicine	Effective:15 Aug 2012	CFPC Specialist

Registration History

Action	Issue Date
First certificate of registration issued: Restricted certificate	Effective: 09 Dec 2010
Terms and conditions imposed on certificate by Registration Committee	Effective: 09 Dec 2010
Expiry date attached to certificate of registration.	Expiry Date: 08 Jun 2012
Terms and conditions amended by Registration Committee	Effective: 09 Mar 2012
Expiry date removed from certificate of registration.	Effective: 16 Mar 2012

Practice Restrictions

Imposed By	Effective Date	Expiry Date	Status
Registration Committee	Effective: 09 Mar 2012		Active

 Dr. Alexander Antonenko may practise medicine independently in Family Medicine,
            only.