THE FOLLOWING INFORMATION WAS OBTAINED FROM THE PHYSICIAN REGISTER SECTION OF THE WEBSITE OF THE COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO (WWW.CPSO.ON.CA) AS OF THE DATE AND TIME NOTED BELOW
10/08/25 05:52:16 AM

General Information

Former Name: No Former Name
Medical School: University of Ottawa, 2012
Gender: Woman
Languages Spoken: ENGLISH, FRENCH

Practice Information

Primary Business Location: Address not Available
Business Email: No Information Available
Phone: No Information Available
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 15 Dec 2015
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Dec 15 2015
CERTIFYING BODY: College of Family Physicians of Canada

Medical Records Location

Instructions/Address: 101-361 Main Street East
Hawkesbury ON K6A 1A8
Date Received: 10 Apr 2017

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Amelie Theriault Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 06 Jul 2017

General Information

Former Name: No Former Name
Gender: Woman
Languages Spoken: ENGLISH, FRENCH
Medical School: University of Ottawa, 2012

Practice Information

Primary Business Location: Address not Available
Business Email: No Information Available
Phone: No Information Available
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 15 Dec 2015
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Dec 15 2015
CERTIFYING BODY: College of Family Physicians of Canada

Medical Records Location

Instructions/Address: 101-361 Main Street East
Hawkesbury ON K6A 1A8
Date Received: 10 Apr 2017

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Amelie Theriault Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 06 Jul 2017

Practice Conditions

This physician is inactive (Expired, Resigned, Suspended, Revoked, or Deceased) and is not permitted to practise medicine.
This physician is inactive (Expired, Resigned, Suspended, Revoked, or Deceased) and is not permitted to practise medicine.

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Training

Medical School: University of Ottawa, 2012

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 15 Jun 2017
Transfer of class of registration to: Independent Practice Certificate Effective: 18 Dec 2015
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2014
DETAILS: Expired: Resigned from membership.
Date: Effective: 15 Jun 2017
DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 18 Dec 2015
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 2014