HOME MEDICAL EQUIPMENT PROVIDER 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

203000497

License Status

NOT RENEWED

Business

Business Name

HOME MEDICAL EQUIPMENT PROVIDER

Original Issue Date

10/24/2003

Effective Date

10/24/2003

Expiration Date

03/31/2006

City

COUNTRY CLUB HILLS

State

Zip

60478

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006