TOMCZAK, IAN MICHAEL - Licensee Information

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TOMCZAK, IAN MICHAEL

Practice Address:	ST JOHN HOME HEALTH AND HOSPICE 4720 S HARVARD AVE 202 TULSA OK 74135 Address last updated on 1/12/2020
Phone #:	(917) 747-7901
Fax #:
County:	TULSA
License:	5768
Dated:	12/17/2019
Expires:	1/31/2021
Temp. Ltr. Issued:	11/6/2019
Temp. Ltr. Expires:	1/16/2020
License Type:	Physical Therapist
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2022

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 JOHN HOME HEALTH AND HOSPICE 4720 S HARVARD AVE 202 TULSA OK 74135 Phone #: (917) 747-7901 Fax #:

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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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