MICHAEL KRISTIAN EIDE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050654

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

KRISTIAN

Last Name

EIDE

Suffix

Business Name

MICHAEL KRISTIAN EIDE MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

07/15/2009