LIBERTY MEDICAL SUPPLY INC HME and Services Provider License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

HME and Services Provider

Description

HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER

License Number

203001015

License Status

CHANGE OF OWNERSHIP

Business

Business Name

LIBERTY MEDICAL SUPPLY INC

Original Issue Date

06/18/2008

Effective Date

03/08/2012

Expiration Date

03/31/2015

City

PORT SAINT LUCIE

State

Zip

34952

County

FLORIDA

Ever Disciplined

LastModifiedDate

07/16/2012