Last Updated: 12/5/2025 7:08:18 PM
Facility Detail| Corporation / Company Owner Name | LAKE CNTRY MED SUPPLIES OF OKMULGEE, LLC |
| Business (DBA) Name | LAKE CNTRY MED SUPPLIES OF OKMULGEE, LLC |
| License Number | 14-S-758 |
| Facility Type | Medical Gas Supplier |
| Address |
1000 W MAIN ST |
| City, State, Zip | HENRYETTA,OK 74437 |
| Country | |
| Issue Date | 09/15/1999 |
| Renewed Date | 09/15/1999 |
| Expiration Date | |
| Renewal Month | |
| End Date | 04/24/2000 |
| Status | CLOSED |
| In Process? | |
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