PRAIRIE MEDICAL SUPPLY INC HME and Services Provider License verification

Business Entity

NOT RENEWED

License Type

HME and Services Provider

Description

HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER

License Number

203000061

License Status

NOT RENEWED

Business

Business Name

PRAIRIE MEDICAL SUPPLY INC

Original Issue Date

06/26/2000

Effective Date

01/19/2006

Expiration Date

03/31/2009

City

MOUNT ZION

State

Zip

62549

County

MACON

Ever Disciplined

LastModifiedDate

05/06/2009