MICHAEL KRISTIAN EIDE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119663

License Status

INACTIVE

Business

First Name

MICHAEL

Middle

KRISTIAN

Last Name

EIDE

Suffix

Business Name

MICHAEL KRISTIAN EIDE MD

Original Issue Date

11/06/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

SIOUX FALLS

State

Zip

57108

Ever Disciplined

LastModifiedDate

04/07/2011