FacilityDetail

Last Updated:  12/22/2024 7:09:13 PM

Facility Detail                       
Corporation / Company Owner Name  
Business (DBA) Name   MED-DEPOT 
License Number  2-S-1057 
Facility Type Medical Gas Supplier 
Address

4248 S 76TH E AVE, STE C

City, State, Zip TULSA,OK 74145-4717 
Country   
Issue Date  09/03/2004 
Renewed Date 09/03/2004
Expiration Date  06/30/2005 
Renewal Month
End Date  11/05/2004 
Status CLOSED 
In Process?
 

Disciplinary Action
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Case Date   Case Number  
No records 
 

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