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
16/01/25 11:41:50 AM

General Information

Former Name: No Former Name
Medical School: University of Toronto, 2008
Gender: No Information Available
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

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine (Emergency Medicine)
Effective: 10 Oct 2017
College of Family Physicians of Canada
Family Medicine
Effective: 24 Jun 2010
College of Family Physicians of Canada
SPECIALTY: Family Medicine (Emergency Medicine)
ISSUED ON: Effective: Oct 10 2017
CERTIFYING BODY: College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jun 24 2010
CERTIFYING BODY: College of Family Physicians of Canada

Medical Records Location

Instructions/Address: Queen Elizabeth Hospital
60 Riverside Drive
Charlottetown PE C1A 8T5
Date Received: 26 May 2017

Medical Licences In Other Jurisdictions

Effective September 1, 2015, the College by-laws require the College to indicate on the register if the member has a licence or is registered to practise medicine in a jurisdiction outside Ontario, if this is known to the College.
Canada - Prince Edward Island

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: N. Green Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 19 Sep 2017

General Information

Former Name: No Former Name
Gender: No Information Available
Languages Spoken: ENGLISH
Medical School: University of Toronto, 2008

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 (Emergency Medicine)
Effective: 10 Oct 2017
College of Family Physicians of Canada
Family Medicine
Effective: 24 Jun 2010
College of Family Physicians of Canada
SPECIALTY: Family Medicine (Emergency Medicine)
ISSUED ON: Effective: Oct 10 2017
CERTIFYING BODY: College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jun 24 2010
CERTIFYING BODY: College of Family Physicians of Canada

Medical Records Location

Instructions/Address: Queen Elizabeth Hospital
60 Riverside Drive
Charlottetown PE C1A 8T5
Date Received: 26 May 2017

Medical Licences In Other Jurisdictions

Effective September 1, 2015, the College by-laws require the College to indicate on the register if the member has a licence or is registered to practise medicine in a jurisdiction outside Ontario, if this is known to the College.
Canada - Prince Edward Island

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: N. Green Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 19 Sep 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 Toronto, 2008

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 13 Jun 2017
Transfer of class of registration to: Independent Practice Certificate Effective: 30 Jun 2010
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2008
DETAILS: Expired: Resigned from membership.
Date: Effective: 13 Jun 2017
DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 30 Jun 2010
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 2008