Last Updated:  5/26/2019 7:32:28 PM

Facility Detail                       
Corporation / Company Owner Name ALPHA MEDICAL SUPPLY 
License Number  2-W-223 
Facility Type Wholesale Distributor 

18452 E 111th ST. SOUTH

City, State, Zip BROKEN ARROW,OK 74011 
Issue Date  07/21/1988 
Renewed Date 06/09/1989
Expiration Date   
Renewal Month
End Date  08/16/1990 
Status CLOSED 
In Process?

Disciplinary Action
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Case Date   Case Number  
No records 

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