Antonissen, Ludovieus Anthony Stanley (CPSO#: 92603)

Current Status: Expired: Resigned from membership as of 01 Jun 2013

CPSO Registration Class: None as of 01 Jun 2013

Summary

Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education:The University of Manitoba, 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

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