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 03:29:55 AM

General Information

Former Name: No Former Name
Medical School: University of Ottawa, 2006
Gender: Man
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: 203-215 Fanshawe Park Road West
London Ontario N6G 5A9
Business Email: No Information Available
Phone: (519) 434-4727
Fax: (519) 434-4700

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 05 Jan 2009
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jan 05 2009
CERTIFYING BODY: College of Family Physicians of Canada

Medical Records Location

Instructions/Address: Riverbend Medical Clinic
1866 Oxford Street West
Phone 519-657-1919
Fax 519-472-8017
Date Received: 25 Aug 2022

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Dr. Mike Peterson Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 13 Mar 2009
Shareholders:
Dr. M. Peterson (CPSO#: 85002 )
Business Address: 203-215 Fanshawe Park Road West
London Ontario N6G 5A9 (519) 434-4727

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: University of Ottawa, 2006

Practice Information

Primary Business Location: 203-215 Fanshawe Park Road West
London Ontario N6G 5A9
Business Email: No Information Available
Phone: (519) 434-4727
Fax: (519) 434-4700

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 05 Jan 2009
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jan 05 2009
CERTIFYING BODY: College of Family Physicians of Canada

Medical Records Location

Instructions/Address: Riverbend Medical Clinic
1866 Oxford Street West
Phone 519-657-1919
Fax 519-472-8017
Date Received: 25 Aug 2022

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Dr. Mike Peterson Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 13 Mar 2009
Shareholders:
Dr. M. Peterson (CPSO#: 85002 )
Business Address: 203-215 Fanshawe Park Road West
London Ontario N6G 5A9 (519) 434-4727

Practice Conditions

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

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Other Notifications (2)

Source: Inquiries, Complaints and Reports Committee
Effective Date: 05 Oct 2016
Summary:
Caution-in-Person:

A summary of a decision of the Inquiries, Complaints and Reports Committee in which the disposition includes a "caution-in-person" is required by the College by-laws to be posted on the register, along with a note if the decision has been appealed. A “caution-in-person” disposition requires the physician to attend at the College and be verbally cautioned by a panel of the Committee. The summary will be removed from the register if the decision is overturned on appeal or review. Note that this requirement only applies to decisions arising out of a complaint dated on or after January 1, 2015 or if there was no complaint, the first appointment of investigators dated on or after January 1, 2015.

See PDF for the summary of a decision made against this member in which the disposition includes a caution-in-person:

Download Full Document (PDF)
Source: Inquiries, Complaints and Reports Committee
Effective Date: 05 Oct 2016
Summary:
Caution-in-Person:

A summary of a decision of the Inquiries, Complaints and Reports Committee in which the disposition includes a "caution-in-person" is required by the College by-laws to be posted on the register, along with a note if the decision has been appealed. A “caution-in-person” disposition requires the physician to attend at the College and be verbally cautioned by a panel of the Committee. The summary will be removed from the register if the decision is overturned on appeal or review. Note that this requirement only applies to decisions arising out of a complaint dated on or after January 1, 2015 or if there was no complaint, the first appointment of investigators dated on or after January 1, 2015.

See PDF for the summary of a decision made against this member in which the disposition includes a caution-in-person:

Download Full Document (PDF)

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Other Notifications (2)

Source: Inquiries, Complaints and Reports Committee
Effective Date: 05 Oct 2016
Summary:
Caution-in-Person:

A summary of a decision of the Inquiries, Complaints and Reports Committee in which the disposition includes a "caution-in-person" is required by the College by-laws to be posted on the register, along with a note if the decision has been appealed. A “caution-in-person” disposition requires the physician to attend at the College and be verbally cautioned by a panel of the Committee. The summary will be removed from the register if the decision is overturned on appeal or review. Note that this requirement only applies to decisions arising out of a complaint dated on or after January 1, 2015 or if there was no complaint, the first appointment of investigators dated on or after January 1, 2015.

See PDF for the summary of a decision made against this member in which the disposition includes a caution-in-person:

Download Full Document (PDF)
Source: Inquiries, Complaints and Reports Committee
Effective Date: 05 Oct 2016
Summary:
Caution-in-Person:

A summary of a decision of the Inquiries, Complaints and Reports Committee in which the disposition includes a "caution-in-person" is required by the College by-laws to be posted on the register, along with a note if the decision has been appealed. A “caution-in-person” disposition requires the physician to attend at the College and be verbally cautioned by a panel of the Committee. The summary will be removed from the register if the decision is overturned on appeal or review. Note that this requirement only applies to decisions arising out of a complaint dated on or after January 1, 2015 or if there was no complaint, the first appointment of investigators dated on or after January 1, 2015.

See PDF for the summary of a decision made against this member in which the disposition includes a caution-in-person:

Download Full Document (PDF)

Training

Medical School: University of Ottawa, 2006

Registration History

DETAILS DATE
Subsequent certificate of registration issued: Independent Practice Certificate Effective: 07 Jan 2009
Expired: Terms and conditions of certificate of registration Effective: 30 Nov 2008
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2006
DETAILS: Subsequent certificate of registration issued: Independent Practice Certificate
Date: Effective: 07 Jan 2009
DETAILS: Expired: Terms and conditions of certificate of registration
Date: Effective: 30 Nov 2008
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 2006