License holder summary

LIDASAN THOR is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for LIDASAN THOR is STATEN ISLAND NY. This doctor license is current. The license was granted 05/22/2001 and expired on 02/28/2017.

New York

Office of the Professions

LIDASAN THOR
Medicine (Physician, Including M Ds & D Os)
License number
221164
Date granted
05/22/2001
Date expires
02/28/2017
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
STATEN ISLAND NY
nymedicine.org
ID 30203863
LAST UPDATED 2026-04-03 02:48:56 UTC

This website is unaffiliated with the Office of the Professions. Please verify all information directly with the relevant official government authority.

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