FacilityDetail

Last Updated:  12/26/2024 7:08:05 PM

Facility Detail                       
Corporation / Company Owner Name  
Business (DBA) Name   MADISON MEDICAL LLC 
License Number  16-D-2920 
Facility Type Medical Gas Distributor 
Address

115 W MAPLE

City, State, Zip FAIRFAX,OK 74637 
Country   
Issue Date  07/18/2011 
Renewed Date 06/26/2020
Expiration Date  07/31/2021 
Renewal Month
End Date  09/01/2021 
Status CLOSED 
In Process?
 

Disciplinary Action
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Case Date   Case Number  
No records 
 

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