FacilityDetail

Last Updated:  12/22/2024 7:09:13 PM

Facility Detail                       
Corporation / Company Owner Name  
Business (DBA) Name   CARDIOSOM OF TULSA 
License Number  2-S-1184 
Facility Type Medical Gas Supplier 
Address

10505 E 91ST ST S, STE 130-A

City, State, Zip TULSA,OK 74133-5790 
Country   
Issue Date  05/10/2006 
Renewed Date 05/15/2007
Expiration Date  05/31/2008 
Renewal Month
End Date  09/27/2007 
Status CLOSED 
In Process?
 

Disciplinary Action
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Case Date   Case Number  
No records 
 

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