Last Updated: 12/23/2024 5:22:52 AM
Facility DetailCorporation / Company Owner Name | |
Business (DBA) Name | PRIME SOURCE OF OKLAHOMA |
License Number | 2-D-3169 |
Facility Type | Medical Gas Distributor |
Address |
6810 E 40TH ST STE A |
City, State, Zip | TULSA,OK 74145 |
Country | |
Issue Date | 03/01/2012 |
Renewed Date | 03/13/2014 |
Expiration Date | 03/31/2015 |
Renewal Month | |
End Date | 01/15/2015 |
Status | CLOSED |
In Process? | |
Disciplinary
Action
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Case Date | Case Number |
No records | |