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SANSONE, RANDY ALAN       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 5794 STONE LAKE DRIVE
DAYTON OH 45429
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 17223
Dated: 4/19/1990
Expires: 4/1/1998
License Type: Medical Doctor
Specialty: Psychiatry
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Oh State Univ Coll Of Med and Pub Hlth, Columbus Oh 43210
Graduated: 6 / 1978
CME Year:
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
5794 STONE LAKE DRIVE
DAYTON OH 45429

Phone #:
Fax #:

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