WENDY ROBERTA EIDER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

WENDY

Middle

ROBERTA

Last Name

EIDER

Business Name

WENDY ROBERTA EIDER

Original Issue Date

03/28/2011

Effective Date

07/06/2011

Expiration Date

07/31/2014

City

YAKIMA

State

Zip

98908

County

WASHINGTON STATE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014