Last Updated: 12/22/2024 7:09:13 PM
Facility DetailCorporation / Company Owner Name | |
Business (DBA) Name | CARESOURCE |
License Number | 2-D-1062 |
Facility Type | Medical Gas Distributor |
Address |
12121 E 51ST ST, STE 105 |
City, State, Zip | TULSA,OK 74146-6019 |
Country | |
Issue Date | 09/23/2004 |
Renewed Date | 07/14/2005 |
Expiration Date | 09/30/2006 |
Renewal Month | |
End Date | 08/15/2005 |
Status | CLOSED |
In Process? | |
Disciplinary
Action
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Case Date | Case Number |
No records | |