Notification of Resignation of Licence to Practice Medicine

1Physician Information

2Resignation & Acknowledgement

A physician may resign their Licence to Practice Medicine and discontinue their practice of medicine in Newfoundland and Labrador and must notify the College of their intention to do so. Once you resign, your Licence to Practice Medicine expires and you must cease practicing medicine, including prescribing medications, immediately.

If you have any questions about resigning your licence to practice medicine, please contact us at compliance@cpsnl.ca

Physician Information

Full Name(Required)

Licence Number(Required)

Mailing Address (for College use only)(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

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