Last Updated: 12/22/2024 7:09:13 PM
Facility DetailCorporation / Company Owner Name | |
Business (DBA) Name | PROSOURCE MEDICAL EQUIPMENT & SUPPLIES, INC. |
License Number | 1-G-8589 |
Facility Type | DME Supplier / Medical Gas Distributor |
Address |
6801 S EASTERN AVE |
City, State, Zip | OKLAHOMA CITY,OK 73149 |
Country | |
Issue Date | 07/12/2024 |
Renewed Date | 07/15/2024 |
Expiration Date | 07/31/2025 |
Renewal Month | |
End Date | |
Status | License in Good Standing |
In Process? | |
Disciplinary
Action
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Case Date | Case Number |
No records | |