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
24/04/25 03:46:22 AM

General Information

Former Name: No Former Name
Medical School: Queen's University, 1997
Gender: Woman
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: University of Guelph
Student Health Services
50 Stone Road East
Guelph Ontario N1G 2W1
Business Email: No Information Available
Phone: (519) 824-4120
Extension: 52131
Fax: (519) 836-7431

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 10 Dec 1999
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Dec 10 1999
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Easterbrook Petrov Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 16 Mar 2006
Shareholders:
Dr. M. Easterbrook (CPSO#: 73752 ) Dr. N. Petrov (CPSO#: 71077 )
Business Address: 131 Frederick Campbell St
Groves Memorial Community Hospital
Fergus ON N1M 0H3
Business Address: University of Guelph
Student Health Services
50 Stone Road East
Guelph Ontario N1G 2W1 (519) 824-4120 Extn: 52131
Business Address: 801 St. David Street North
Fergus Ontario N1M 2L1 (519) 787-2940
Business Address: 1A - 500 Garafraxa St. E.
Fergus Ontario N1M 1E8 (226) 383-3333
Business Address: Groves Memorial Community Hospital
235 Union Street East
Fergus Ontario N1M 1W2 (519) 843-4380

General Information

Former Name: No Former Name
Gender: Woman
Languages Spoken: ENGLISH
Medical School: Queen's University, 1997

Practice Information

Primary Business Location: University of Guelph
Student Health Services
50 Stone Road East
Guelph Ontario N1G 2W1
Business Email: No Information Available
Phone: (519) 824-4120
Extension: 52131
Fax: (519) 836-7431

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 10 Dec 1999
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Dec 10 1999
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Easterbrook Petrov Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 16 Mar 2006
Shareholders:
Dr. M. Easterbrook (CPSO#: 73752 ) Dr. N. Petrov (CPSO#: 71077 )
Business Address: 131 Frederick Campbell St
Groves Memorial Community Hospital
Fergus ON N1M 0H3
Business Address: University of Guelph
Student Health Services
50 Stone Road East
Guelph Ontario N1G 2W1 (519) 824-4120 Extn: 52131
Business Address: 801 St. David Street North
Fergus Ontario N1M 2L1 (519) 787-2940
Business Address: 1A - 500 Garafraxa St. E.
Fergus Ontario N1M 1E8 (226) 383-3333
Business Address: Groves Memorial Community Hospital
235 Union Street East
Fergus Ontario N1M 1W2 (519) 843-4380

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. NICOLE MIRA PETROV may practise only in the areas of medicine in which Dr. PETROV is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. NICOLE MIRA PETROV may practise only in the areas of medicine in which Dr. PETROV 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, 1997

Registration History

DETAILS DATE
Transfer of class of registration to: Independent Practice Certificate Effective: 13 Dec 1999
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 1997
DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 13 Dec 1999
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 1997