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

203000364

License Status

NOT RENEWED

Business

Business Name

SOUTHERN ILLINOIS SURGICAL APPLIANCE CO

Original Issue Date

04/01/2002

Effective Date

03/08/2012

Expiration Date

03/31/2015

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/11/2015