Last Updated: 4/27/2024 5:20:44 AM
Facility DetailCorporation / Company Owner Name | MIRACLE DURABLE MEDICAL EQUIPMENT LLC |
Business (DBA) Name | BREATH OF LIFE |
License Number | 27-S-5644 |
Facility Type | Medical Gas Supplier |
Address |
208 W EVERGREEN STREET |
City, State, Zip | DURANT,OK 74701 |
Country | |
Issue Date | 09/07/2018 |
Renewed Date | 08/25/2023 |
Expiration Date | 09/30/2024 |
Renewal Month | |
End Date | |
Status | License in Good Standing |
In Process? | |
Disciplinary
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Case Date | Case Number |
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