Last Updated:  12/2/2021 6:59:31 PM

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

1108 SE 59TH ST

City, State, Zip OKLAHOMA CITY,OK 73129-7304 
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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