Last Updated: 12/26/2024 5:23:35 AM
Facility DetailCorporation / Company Owner Name | LAKE CNTRY MED SUPPLIES OF OKMULGEE, LLC |
Business (DBA) Name | LAKE CNTRY MED SUPPLIES OF OKMULGEE, LLC |
License Number | 14-S-758 |
Facility Type | Medical Gas Supplier |
Address |
1000 W MAIN ST |
City, State, Zip | HENRYETTA,OK 74437 |
Country | |
Issue Date | 09/15/1999 |
Renewed Date | 09/15/1999 |
Expiration Date | |
Renewal Month | |
End Date | 04/24/2000 |
Status | CLOSED |
In Process? | |
Disciplinary
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