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
03/04/26 08:43:33 AM

General Information

Former Name: No Former Name
Medical School: Windsor University School of Medicine, 2014
Gender: Man
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: 339 Windermere Road
University Hospital
Subacute Medicine
10th floor
London Ontario N6A 5A5
Business Email: No Information Available
Phone: 519-685-8500
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 12 Dec 2016
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Dec 12 2016
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
Alexandra Hospital Ingersoll
London Health Sciences Centre London
HOSPITAL: Alexandra Hospital
LOCATION: Ingersoll
HOSPITAL: London Health Sciences Centre
LOCATION: London

Professional Corporation Information

Corporation Name: Omar Al-Azem Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 22 Feb 2017
Shareholders:
Dr. O. Al-Azem (CPSO#: 105075 )

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: Windsor University School of Medicine, 2014

Practice Information

Primary Business Location: 339 Windermere Road
University Hospital
Subacute Medicine
10th floor
London Ontario N6A 5A5
Business Email: No Information Available
Phone: 519-685-8500
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 12 Dec 2016
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Dec 12 2016
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
Alexandra Hospital Ingersoll
London Health Sciences Centre London
HOSPITAL: Alexandra Hospital
LOCATION: Ingersoll
HOSPITAL: London Health Sciences Centre
LOCATION: London

Professional Corporation Information

Corporation Name: Omar Al-Azem Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 22 Feb 2017
Shareholders:
Dr. O. Al-Azem (CPSO#: 105075 )

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. OMAR AL-AZEM may practise only in the areas of medicine in which Dr. AL-AZEM is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. OMAR AL-AZEM may practise only in the areas of medicine in which Dr. AL-AZEM is educated and experienced.

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: Windsor University School of Medicine, 2014

Registration History

DETAILS DATE
Subsequent certificate of registration issued: Independent Practice Certificate Effective: 16 Dec 2016
Expired: Terms and conditions of certificate of registration Effective: 20 Oct 2016
Transfer of class of registration to: Postgraduate Education Certificate Effective: 14 Jan 2015
First certificate of registration issued: Pre Entry Assessment Program Certificate Effective: 21 Oct 2014
DETAILS: Subsequent certificate of registration issued: Independent Practice Certificate
Date: Effective: 16 Dec 2016
DETAILS: Expired: Terms and conditions of certificate of registration
Date: Effective: 20 Oct 2016
DETAILS: Transfer of class of registration to: Postgraduate Education Certificate
Date: Effective: 14 Jan 2015
DETAILS: First certificate of registration issued: Pre Entry Assessment Program Certificate
Date: Effective: 21 Oct 2014