Last Updated: 12/26/2024 7:08:05 PM
Facility DetailCorporation / Company Owner Name | |
Business (DBA) Name | INDIAN TERRITORY DME |
License Number | 61-S-996 |
Facility Type | Medical Gas Supplier |
Address |
1000 E MAIN |
City, State, Zip | TISHOMINGO,OK 73460-2413 |
Country | |
Issue Date | 07/18/2003 |
Renewed Date | 06/24/2004 |
Expiration Date | 06/30/2005 |
Renewal Month | |
End Date | 02/23/2005 |
Status | CLOSED |
In Process? | |
Disciplinary
Action
Click on any of the Underlined headings to sort by that
column.
Case Date | Case Number |
No records | |