FacilityDetail

Last Updated:  1/26/2020 7:36:34 PM

Facility Detail                       
Corporation / Company Owner Name  
Business (DBA) Name   LAKE COUNTRY MEDICAL EQUIPMENT 
License Number  14-S-795 
Facility Type Medical Gas Supplier 
Address

1180 S BELMONT

City, State, Zip OKMULGEE,OK 74447-6310 
Country   
Issue Date  04/24/2000 
Renewed Date 03/22/2013
Expiration Date  04/30/2014 
Renewal Month
End Date  02/24/2014 
Status CLOSED 
In Process?
 

Disciplinary Action
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Case Date   Case Number  
No records 
 

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