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
06/12/24 05:42:39 AM

General Information

Former Name: No Former Name
Medical School: Queen's University, 1983
Gender: Woman
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: London Regional Cancer Program
790 Commissioners Road East
London Ontario N6A 4L6
Business Email: No Information Available
Phone: (519) 685-8640
Fax: (519) 685-8624

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Emergency Medicine
Effective: 17 Nov 1987
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Emergency Medicine
ISSUED ON: Effective: Nov 17 1987
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

HOSPITAL LOCATION
St Joseph's Health Care, London London
London Health Sciences Centre Victoria Hospital London
London Health Sciences Centre London
HOSPITAL: St Joseph's Health Care, London
LOCATION: London
HOSPITAL: London Health Sciences Centre Victoria Hospital
LOCATION: London
HOSPITAL: London Health Sciences Centre
LOCATION: London

Professional Corporation Information

Corporation Name: John Fuller Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 22 Dec 2011
Shareholders:
Dr. M. Eisenhauer (CPSO#: 52984 ) Dr. J. Fuller (CPSO#: 32735 )
Business Address: Department of Anaesthesia
St Joseph's Health Centre
268 Grosvenor Street
London Ontario N6A 4V2 (519) 646-6100
Business Address: London Health Sciences Centre
800 Commissioners Road East
London Ontario N6A 5A5 (519) 685-8500
Business Address: 339 Windermere Road
London Ontario N5Y 1A4 (519) 685-8500

General Information

Former Name: No Former Name
Gender: Woman
Languages Spoken: ENGLISH
Medical School: Queen's University, 1983

Practice Information

Primary Business Location: London Regional Cancer Program
790 Commissioners Road East
London Ontario N6A 4L6
Business Email: No Information Available
Phone: (519) 685-8640
Fax: (519) 685-8624

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Emergency Medicine
Effective: 17 Nov 1987
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Emergency Medicine
ISSUED ON: Effective: Nov 17 1987
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

HOSPITAL LOCATION
St Joseph's Health Care, London London
London Health Sciences Centre Victoria Hospital London
London Health Sciences Centre London
HOSPITAL: St Joseph's Health Care, London
LOCATION: London
HOSPITAL: London Health Sciences Centre Victoria Hospital
LOCATION: London
HOSPITAL: London Health Sciences Centre
LOCATION: London

Professional Corporation Information

Corporation Name: John Fuller Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 22 Dec 2011
Shareholders:
Dr. M. Eisenhauer (CPSO#: 52984 ) Dr. J. Fuller (CPSO#: 32735 )
Business Address: Department of Anaesthesia
St Joseph's Health Centre
268 Grosvenor Street
London Ontario N6A 4V2 (519) 646-6100
Business Address: London Health Sciences Centre
800 Commissioners Road East
London Ontario N6A 5A5 (519) 685-8500
Business Address: 339 Windermere Road
London Ontario N5Y 1A4 (519) 685-8500

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. MARY ALISON EISENHAUER may practise only in the areas of medicine in which Dr. EISENHAUER is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. MARY ALISON EISENHAUER may practise only in the areas of medicine in which Dr. EISENHAUER is educated and experienced.

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: Queen's University, 1983

Registration History

DETAILS DATE
Transfer of class of registration to: Independent Practice Certificate Effective: 14 Jan 1985
First certificate of registration issued: Postgraduate Education Certificate Effective: 15 Jun 1983
DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 14 Jan 1985
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 15 Jun 1983