Last Updated: 5/14/2024 7:06:53 PM
Facility DetailCorporation / Company Owner Name | LAKE COUNTRY MEDICAL EQUIPMENT |
Business (DBA) Name | LAKE COUNTRY MEDICAL EQUIPMENT |
License Number | 57-S-619 |
Facility Type | Medical Gas Supplier |
Address |
1615 S VIGINIA |
City, State, Zip | ATOKA,OK 74525 |
Country | |
Issue Date | 02/03/1997 |
Renewed Date | 05/21/2002 |
Expiration Date | |
Renewal Month | |
End Date | 09/27/2002 |
Status | CLOSED |
In Process? | |
Disciplinary
Action
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Case Date | Case Number |
No records | |