SOUTHERN ILLINOIS SURGICAL APPLIANCE CO 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

203000361

License Status

NOT RENEWED

Business

Business Name

SOUTHERN ILLINOIS SURGICAL APPLIANCE CO

Original Issue Date

04/01/2002

Effective Date

04/10/2003

Expiration Date

03/31/2006

City

MC LEANSBORO

State

Zip

62859

County

HAMILTON

Ever Disciplined

LastModifiedDate

05/11/2006