MEDICINE SHOPPE 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

203000392

License Status

NOT RENEWED

Business

Business Name

MEDICINE SHOPPE

Original Issue Date

08/16/2002

Effective Date

03/19/2003

Expiration Date

03/31/2006

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/11/2006