License holder summary

THOMAS R EIDE is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for THOMAS R EIDE is Dix Hills NY 11746. This medical practitioner license is not current. The license was granted 12/04/2012 and expired on 12/31/2014.

Department of State

Board of Medicine

THOMAS R EIDE
Medical Physician And Surgeon
License number
MD447434
Date granted
12/04/2012
Date expires
12/31/2014
Class
Medical Physician And Surgeon
Status
Inactive
Address
Dix Hills NY 11746
medicinepa.com
ID 37607623
LAST UPDATED 2024-01-05 10:49:13 UTC

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