FacilityDetail

Last Updated:  11/22/2024 9:58:11 AM

Facility Detail                       
Corporation / Company Owner Name  
Business (DBA) Name   PROSOURCE MEDICAL EQUIPMENT & SUPPLIES, INC. 
License Number  1-D-1367 
Facility Type Medical Gas Distributor 
Address

6801 S EASTERN AVE

City, State, Zip OKLAHOMA CITY,OK 73149-2300 
Country   
Issue Date  06/04/2009 
Renewed Date 08/25/2023
Expiration Date  06/30/2024 
Renewal Month
End Date  08/01/2024 
Status CLOSED 
In Process?
 

Disciplinary Action
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Case Date   Case Number  
No records 
 

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