Notification of Resignation of Licence to Practice Medicine

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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

Mailing Address (for College use only)(Required)
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Resignation & Acknowledgement

MM slash DD slash YYYY

Once I resign, my Licence to Practice Medicine expires and I must cease practicing medicine, including prescribing medications, in Newfoundland and Labrador immediately.(Required)
Once I resign, my Professional Medicine Corporation Licence expires. (This may not apply to all physicians. If this does apply to you, the College will follow up with your appropriately.)(Required)

I have read the College's Standard of Practice: Closing or Taking Leave from a Medical Practice.(Required)

MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.
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