FacilityDetail

Last Updated:  3/18/2024 7:04:43 PM

Facility Detail                       
Corporation / Company Owner Name PROSOURCE MEDICAL EQUIPMENT 
Business (DBA) Name   PROSOURCE MEDICAL EQUIPMENT 
License Number  1-D-760 
Facility Type Medical Gas Distributor 
Address

1108 SE 59TH ST

City, State, Zip OKLAHOMA CITY,OK 73129-7304 
Country   
Issue Date  09/17/1999 
Renewed Date 06/04/2002
Expiration Date  06/30/2003 
Renewal Month
End Date  05/09/2003 
Status CLOSED 
In Process?
 

Disciplinary Action
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Case Date   Case Number  
No records 
 

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