RICHARDSON, RANDALL WESLEY - Licensee Information

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Last Update: Tuesday, April 23, 2024 6:58 PM CDT
Next Update: Wednesday, April 24, 2024 2:50 AM CDT

RICHARDSON, RANDALL WESLEY

Practice Address:	DREAM TEAM PROSTHETICS 7111 NIX DRIVE DUNCAN OK 73533 Address last updated on 11/30/2023
Phone #:	(580) 255-2100
Fax #:
County:	STEPHENS
License:	7
Dated:	3/7/2002
Expires:	12/31/2025
License Type:	Registered Prosthetist Assistant
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
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.

Locations:	Hours:	Languages:
DREAM TEAM PROSTHETICS 7111 NIX DRIVE DUNCAN OK 73533 Phone #: (580) 255-2100 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
CHAD ERIC SIMPSON	LPR	13

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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