Last Updated: 5/17/2024 5:21:28 AM
Facility DetailCorporation / Company Owner Name | |
Business (DBA) Name | SOUTHWEST ORTHOTIC LAB LLC |
License Number | 1-S-5641 |
Facility Type | Medical Gas Supplier |
Address |
922 NW 72ND STREET |
City, State, Zip | OKLAHOMA CITY,OK 73116 |
Country | |
Issue Date | 08/31/2018 |
Renewed Date | 08/31/2018 |
Expiration Date | 08/31/2019 |
Renewal Month | |
End Date | 10/01/2019 |
Status | CLOSED |
In Process? | |
Disciplinary
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