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
09/12/24 10:55:32 AM

General Information

Former Name: No Former Name
Medical School: University of British Columbia Faculty of Medicine, 2008
Gender: Woman
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
Pediatrics
Effective: 22 Nov 2013
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Pediatrics
ISSUED ON: Effective: Nov 22 2013
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address: QHC Regional Pediatrics Services Consulting Group
Suite 305
274 Dundas St E
Belleville ON K8N 1E6
Date Received: 26 Jul 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 - British Columbia

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: J.L. Kouwenberg Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 11 Oct 2016

General Information

Former Name: No Former Name
Gender: Woman
Languages Spoken: ENGLISH
Medical School: University of British Columbia Faculty of Medicine, 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
Pediatrics
Effective: 22 Nov 2013
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Pediatrics
ISSUED ON: Effective: Nov 22 2013
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address: QHC Regional Pediatrics Services Consulting Group
Suite 305
274 Dundas St E
Belleville ON K8N 1E6
Date Received: 26 Jul 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 - British Columbia

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: J.L. Kouwenberg Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 11 Oct 2016

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 British Columbia Faculty of Medicine, 2008

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 26 Jul 2017
Subsequent certificate of registration issued: Independent Practice Certificate Effective: 30 Jan 2014
Expired: Terms and conditions of certificate of registration Effective: 22 Nov 2013
First certificate of registration issued: Postgraduate Education Certificate Effective: 02 Jul 2008
DETAILS: Expired: Resigned from membership.
Date: Effective: 26 Jul 2017
DETAILS: Subsequent certificate of registration issued: Independent Practice Certificate
Date: Effective: 30 Jan 2014
DETAILS: Expired: Terms and conditions of certificate of registration
Date: Effective: 22 Nov 2013
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 02 Jul 2008