MIRACLE 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

203000484

License Status

NOT RENEWED

Business

Business Name

MIRACLE MEDICAL SUPPLY

Original Issue Date

09/02/2003

Effective Date

04/18/2012

Expiration Date

03/31/2015

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2015