Last Updated: 12/22/2024 7:09:13 PM
Facility DetailCorporation / Company Owner Name | |
Business (DBA) Name | VICTORY DME |
License Number | 61-S-1012 |
Facility Type | Medical Gas Supplier |
Address |
705 N KEMP |
City, State, Zip | TISHOMINGO,OK 73460-1011 |
Country | |
Issue Date | 12/04/2003 |
Renewed Date | 11/08/2006 |
Expiration Date | 12/31/2007 |
Renewal Month | |
End Date | 08/20/2007 |
Status | CLOSED |
In Process? | |
Disciplinary
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