FacilityDetail

Last Updated:  12/22/2024 7:09:13 PM

Facility Detail                       
Corporation / Company Owner Name UPCHURCH HOLDINGS, LLC 
Business (DBA) Name   LIFE THERAPEUTIC 
License Number  88-G-7911 
Facility Type DME Supplier / Medical Gas Distributor 
Address

3514 COUNTRY CLUB AVE SUITE 2

City, State, Zip FORT SMITH,AR 72903 
Country   
Issue Date  04/07/2023 
Renewed Date 03/22/2024
Expiration Date  04/30/2025 
Renewal Month
End Date   
Status License in Good Standing 
In Process?
 

Disciplinary Action
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Case Date   Case Number  
No records 
 

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