FacilityDetail

Last Updated:  12/11/2018 5:26:49 AM

Facility Detail                       
Corporation / Company Owner Name  
Business (DBA) Name   4G SERVICE & SUPPLY, INC. 
License Number  36-D-529 
Facility Type Medical Gas Distributor 
Address

220 S WATER AVE

City, State, Zip TAHLEQUAH,OK 74464-3924 
Country   
Issue Date  08/02/1995 
Renewed Date 10/04/2018
Expiration Date  08/31/2019 
Renewal Month
End Date   
Status License in Good Standing 
In Process?
 

Disciplinary Action
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Case Date   Case Number  
No records 
 

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