PROVENA CARE AT HOME INC 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

203000440

License Status

NOT RENEWED

Business

Business Name

PROVENA CARE AT HOME INC

Original Issue Date

03/21/2003

Effective Date

01/20/2009

Expiration Date

03/31/2012

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

05/07/2012