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 01:13:11 AM

General Information

Former Name: No Former Name
Medical School: University of the Orange Free State, 1983
Gender: Man
Languages Spoken: ENGLISH, AFRIKAANS

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
Effective: 09 Dec 2009
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Dec 09 2009
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Nicolaas Botha Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 03 Aug 2012

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH, AFRIKAANS
Medical School: University of the Orange Free State, 1983

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
Effective: 09 Dec 2009
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Dec 09 2009
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Nicolaas Botha Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 03 Aug 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: University of the Orange Free State, 1983

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 01 Jun 2013
Subsequent certificate of registration issued: Independent Practice Certificate Effective: 08 Feb 2010
Expired: Terms and conditions imposed on certificate by Registration Committee Effective: 08 Feb 2010
First certificate of registration issued: Restricted Certificate Effective: 22 Dec 2008
Arrow_iconTerms and conditions imposed on certificate by: Registration Committee Effective: 22 Dec 2008
DETAILS: Expired: Resigned from membership.
Date: Effective: 01 Jun 2013
DETAILS: Subsequent certificate of registration issued: Independent Practice Certificate
Date: Effective: 08 Feb 2010
DETAILS: Expired: Terms and conditions imposed on certificate by Registration Committee
Date: Effective: 08 Feb 2010
DETAILS: First certificate of registration issued: Restricted Certificate
Date: Effective: 22 Dec 2008
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 22 Dec 2008