Last Updated: 12/22/2024 5:22:09 AM
Facility Detail| Corporation / Company Owner Name | |
| Business (DBA) Name | AERIFORM CORPORATION |
| License Number | 88-D-1274 |
| Facility Type | Medical Gas Distributor |
| Address |
210 E 10TH |
| City, State, Zip | COFFEYVILLE,KS 67337-6502 |
| Country | |
| Issue Date | 03/11/2004 |
| Renewed Date | 03/17/2006 |
| Expiration Date | 03/31/2007 |
| Renewal Month | |
| End Date | 10/31/2006 |
| Status | CLOSED |
| In Process? | |
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- ATTENTION NEW REGISTRANTS! Website verification is not an official certificate of registration. You cannot practice in Oklahoma until you have received a letter of registration, renewal or permit from the Board
- WRITTEN VERIFICATION OF LICENSURE (OR LETTER OF GOOD STANDING): There is a $10 fee for a certified verification of license from the Board. Website verification remains free.