DIPPOLD DRUG CO 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

203000175

License Status

CHANGE OF OWNERSHIP

Business

Business Name

DIPPOLD DRUG CO INC

Original Issue Date

08/28/2000

Effective Date

01/19/2006

Expiration Date

03/31/2009

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/06/2009