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
06/07/25 02:23:34 AM

General Information

Former Name: No Former Name
Medical School: University of Madras, 1963
Gender: Woman
Languages Spoken: ENGLISH, HINDI, TAMIL, URDU

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
Internal Medicine
Effective: 31 Oct 1972
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Internal Medicine
ISSUED ON: Effective: Oct 31 1972
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address: Patients records are available at the clinics where the patients were seen.
Patients of Queensway Medical Centre at 880 The Queensway, Toronto, who did not collect their records at the time of closure please contact:: The Rathburn Healthplex Medical Clinic, 452 Rathburn Road, Unit 2, Etobicoke, ON M9C 3S8 Telephone: 416-621-2323 or email Dr. Jacob at [email protected]
Date Received: 29 Nov 2013

Hospital Privileges

No information available

General Information

Former Name: No Former Name
Gender: Woman
Languages Spoken: ENGLISH, HINDI, TAMIL, URDU
Medical School: University of Madras, 1963

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
Internal Medicine
Effective: 31 Oct 1972
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Internal Medicine
ISSUED ON: Effective: Oct 31 1972
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address: Patients records are available at the clinics where the patients were seen.
Patients of Queensway Medical Centre at 880 The Queensway, Toronto, who did not collect their records at the time of closure please contact:: The Rathburn Healthplex Medical Clinic, 452 Rathburn Road, Unit 2, Etobicoke, ON M9C 3S8 Telephone: 416-621-2323 or email Dr. Jacob at [email protected]
Date Received: 29 Nov 2013

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: 31 Mar 2013
Summary:
Undertaking by Moire Susan Jacob, to the College of Physicians and Surgeons of Ontario (the “College”).

(1) I, Dr. Jacob, certificate of registration number 26097, am a member of the College. The College has received information regarding my standard of practice.

(2) I, Dr. Jacob, acknowledge that I am the subject of an investigation by the College regarding my care and conduct (the “Investigation”). There has been no referral to the Discipline Committee of the College in respect of the Investigation.

(3) I, Dr. Jacob, hereby resign from the College effective March 31, 2013 (the “Effective Date”).

(4) I, Dr. Jacob, hereby acknowledge that I am winding down my practice and undertake that between the date upon which I execute this Undertaking and the Effective Date, I shall see only existing patients. For greater clarity, I shall not accept any new referrals or assess or treat any patient whom I have not seen previously between the date upon which I execute this Undertaking and the Effective Date.

(5) I, Dr. Jacob, hereby undertake not to apply or re-apply for registration as a physician or for a certificate of registration to practise medicine in Ontario or any other jurisdiction after the Effective Date.

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Other Notifications (1)

Source: Inquiries, Complaints and Reports Committee
Effective Date: 31 Mar 2013
Summary:
Undertaking by Moire Susan Jacob, to the College of Physicians and Surgeons of Ontario (the “College”).

(1) I, Dr. Jacob, certificate of registration number 26097, am a member of the College. The College has received information regarding my standard of practice.

(2) I, Dr. Jacob, acknowledge that I am the subject of an investigation by the College regarding my care and conduct (the “Investigation”). There has been no referral to the Discipline Committee of the College in respect of the Investigation.

(3) I, Dr. Jacob, hereby resign from the College effective March 31, 2013 (the “Effective Date”).

(4) I, Dr. Jacob, hereby acknowledge that I am winding down my practice and undertake that between the date upon which I execute this Undertaking and the Effective Date, I shall see only existing patients. For greater clarity, I shall not accept any new referrals or assess or treat any patient whom I have not seen previously between the date upon which I execute this Undertaking and the Effective Date.

(5) I, Dr. Jacob, hereby undertake not to apply or re-apply for registration as a physician or for a certificate of registration to practise medicine in Ontario or any other jurisdiction after the Effective Date.

Training

Medical School: University of Madras, 1963

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 31 Mar 2013
Subsequent certificate of registration issued: Independent Practice Certificate Effective: 23 Mar 2000
Expired: Resigned from membership. Effective: 13 Aug 1983
Transfer of class of registration to: Independent Practice Certificate Effective: 06 Sep 1973
Transfer of class of registration to: Specified Certificate Effective: 21 Jun 1973
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jan 1971
DETAILS: Expired: Resigned from membership.
Date: Effective: 31 Mar 2013
DETAILS: Subsequent certificate of registration issued: Independent Practice Certificate
Date: Effective: 23 Mar 2000
DETAILS: Expired: Resigned from membership.
Date: Effective: 13 Aug 1983
DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 06 Sep 1973
DETAILS: Transfer of class of registration to: Specified Certificate
Date: Effective: 21 Jun 1973
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jan 1971