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
14/03/25 08:46:10 AM

General Information

Former Name: No Former Name
Medical School: Queen's University, 1966
Gender: Man
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
Plastic Surgery
Effective: 19 Nov 1974
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Plastic Surgery
ISSUED ON: Effective: Nov 19 1974
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

No information available

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH, FRENCH
Medical School: Queen's University, 1966

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
Plastic Surgery
Effective: 19 Nov 1974
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Plastic Surgery
ISSUED ON: Effective: Nov 19 1974
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

No information available

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

Other Notifications (1)

Source: Inquiries, Complaints and Reports Committee
Effective Date: 01 Oct 2005
Summary:
On October 1, 2005, Dr. Mitchell Dale Greene undertook to the College of Physicians and
Surgeons of Ontario the following,
-- to resign from the College of Physicians and Surgeons of Ontario effective
October 1, 2005, and
-- not to apply for registration as a physician or for a licence to practise medicine in
any jurisdiction.

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Other Notifications (1)

Source: Inquiries, Complaints and Reports Committee
Effective Date: 01 Oct 2005
Summary:
On October 1, 2005, Dr. Mitchell Dale Greene undertook to the College of Physicians and
Surgeons of Ontario the following,
-- to resign from the College of Physicians and Surgeons of Ontario effective
October 1, 2005, and
-- not to apply for registration as a physician or for a licence to practise medicine in
any jurisdiction.

Training

Medical School: Queen's University, 1966

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 01 Oct 2005
Transfer of class of registration to: Independent Practice Certificate Effective: 19 Jun 1967
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 1966
DETAILS: Expired: Resigned from membership.
Date: Effective: 01 Oct 2005
DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 19 Jun 1967
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 1966