+1(514) 937-9445 or Toll-free (Canada & US) +1 (888) 947-9445
Yes - Medical expired after 12 Months - Hopefully IRCC will make a request for a fresh Medical Examination

IRCC tries their best to wait until within 1 year of approval so that parents don’t keep on having to repeat and pay for medical request especially when processing can be multiple years. Not having a new valid medical will not stop processing.