Pharmacist (Public) Profile

{%First Name%} {%Last Name%}, License # {%Member No%}
Employment and Authorizations

Gender:

{%Gender%}

Registration date:

{%MPHA Registration Date[MMMM dd, yyyy]%}

Licence category:

{%Membership Class%}

Self-declared Language proficiency:

{%Languages: LABEL%}

Primary Employer:

{%Primary Employer Name: Pharmacy Name%}, {%Primary Employer Name: Pharmacy Address%}

Work Phone:

{%Work Phone%}

Injections Authorization:

Self-Limiting Conditions  Authorization:

Smoking Cessation Authorization:

Lab Test Ordering Authorization:

Extended Practice Pharmacist:

Specialist Qualifications:


Restriction and records

Licence Conditions:

Licence Condition Description:

Licence Conditions Date:

Disciplinary Action (since 2009):

Disciplinary Action Description:

Disciplinary Action Date:

Suspension Commencement Date:

Censure Date:

Censure Description
(as confirmed by Complaints Committee):

Malpractice Court Judgment
(within the last ten years):

Malpractice Court Judgment Description:

Malpractice Court Judgment Date:

Criminal Record Convictions
(as confirmed by Council):

Criminal Record Convictions Description:

Criminal Record Convictions Date:


This information was accessed on May 01, 2017,
from the College of Pharmacists of Manitoba website "www.cphm.ca"