Last Updated: 1/4/2025 7:06:54 PM
Facility DetailCorporation / Company Owner Name | |
Business (DBA) Name | LAKE COUNTRY MEDICAL EQUIPMENT |
License Number | 39-S-843 |
Facility Type | Medical Gas Supplier |
Address |
105 N 12TH |
City, State, Zip | HUGO,OK 74743-4246 |
Country | |
Issue Date | 01/26/2001 |
Renewed Date | 06/05/2003 |
Expiration Date | 06/30/2004 |
Renewal Month | |
End Date | 06/30/2004 |
Status | CLOSED |
In Process? | |
Disciplinary
Action
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