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
23/03/25 03:52:13 AM

General Information

Former Name: No Former Name
Medical School: Queen's University, 1962
Gender: Man
Languages Spoken: ENGLISH

Practice Information

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

Specialties

No Specialty Reported

Medical Records Location

Instructions/Address: ODS
PO Box 2071
Sudbury, ON
P3A 4R8

Tel: 1-877-560-4637 or 705-560-8461
Fax: 705-524-8012
Email: [email protected]
Website: www.odstorage.com
Date Received: 02 Feb 2012

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Douglas Prince Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 27 Jul 2012

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: Queen's University, 1962

Practice Information

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

Specialties

No Specialty Reported

Medical Records Location

Instructions/Address: ODS
PO Box 2071
Sudbury, ON
P3A 4R8

Tel: 1-877-560-4637 or 705-560-8461
Fax: 705-524-8012
Email: [email protected]
Website: www.odstorage.com
Date Received: 02 Feb 2012

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Douglas Prince Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 27 Jul 2012

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: Queen's University, 1962

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 09 May 2012
Transfer of class of registration to: Restricted Certificate Effective: 17 Nov 2011
First certificate of registration issued: Independent Practice Certificate Effective: 20 Jun 1963


DETAILS: Expired: Resigned from membership.
Date: Effective: 09 May 2012

DETAILS: Transfer of class of registration to: Restricted Certificate
Date: Effective: 17 Nov 2011
DETAILS: Terms and conditions imposed on certificate by: Quality Assurance Committee
Date: Effective: 17 Nov 2011

DETAILS: First certificate of registration issued: Independent Practice Certificate
Date: Effective: 20 Jun 1963