LAKE MEDICAL SUPPLIES 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

203000109

License Status

NOT RENEWED

Business

Business Name

LAKE MEDICAL SUPPLIES INC

Original Issue Date

07/19/2000

Effective Date

02/20/2003

Expiration Date

03/31/2006

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006