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BASONE, JOHN SAMUEL       
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: 5 KEYSER LANE
GULFPORT MS 39501

Address last updated on 12/23/1999
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 9133
Dated: 10/31/1969
Expires: 6/30/1987
License Type: Medical Doctor
Specialty: Clinical Pathology
Anatomic/Clinical Pathology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: LSU Sch Of Med in New Orleans, New Orleans La 70112
Graduated: / 1956
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 PATHOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
5 KEYSER LANE
GULFPORT MS 39501

Phone #:
Fax #:

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