FacilityDetail

Last Updated:  12/21/2024 7:07:07 PM

Facility Detail                       
Corporation / Company Owner Name  
Business (DBA) Name   OPTUMSERVE HEALTH SERVICES, INC. 
License Number  88-W-7093 
Facility Type Wholesale Distributor 
Address

3237 AIRPORT ROAD

City, State, Zip LA CROSSE,WI 54603 
Country   
Issue Date  09/20/2021 
Renewed Date 10/03/2024
Expiration Date  09/30/2025 
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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