Last Updated: 12/28/2024 7:07:21 PM
Facility DetailCorporation / Company Owner Name | |
Business (DBA) Name | INDIAN TERRITORY DME |
License Number | 55-S-5652 |
Facility Type | Medical Gas Supplier |
Address |
1603 WEST BROADWAY STE B |
City, State, Zip | SULPHUR,OK 73086 |
Country | |
Issue Date | 09/28/2018 |
Renewed Date | 08/02/2019 |
Expiration Date | 09/30/2020 |
Renewal Month | |
End Date | 04/01/2020 |
Status | CLOSED |
In Process? | |
Disciplinary
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