PERRY HOME MEDICAL SUPPLY 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

203000268

License Status

NOT RENEWED

Business

Business Name

PERRY HOME MEDICAL SUPPLY

Original Issue Date

03/30/2001

Effective Date

01/18/2012

Expiration Date

03/31/2015

City

PRINCETON

State

Zip

61356

County

BUREAU

Ever Disciplined

LastModifiedDate

05/11/2015

Case Number

2004008922

Action

Fine

Discipline Start Date

06/30/2005

Discipline Reason

PURCHASING MEDICINAL OXYGEN FROM AN UNLICENSED WHOLESALE DRUG DISTRIBUTOR FROM AUGUST 2004 THROUGH DECEMBER 2004.