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BOURNE, IAN A       
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: ST FRANCIS ACUTE CARE
6161 S. YALE
TULSA OK 74136

Address last updated on 9/10/2017
Phone #: (918) 494-1471
Fax #:
County: TULSA
License: 4855
Dated: 8/1/2014
Expires: 1/31/2018
Temp. Ltr. Issued: 6/13/2014
Temp. Ltr. Expires: 11/7/2014
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2018
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:
ST FRANCIS ACUTE CARE
6161 S. YALE
TULSA OK 74136

Phone #: (918) 494-1471
Fax #:

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