VAN DRIEL'S DRUG STORE 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

203000528

License Status

NOT RENEWED

Business

Business Name

VAN DRIEL'S DRUG STORE

Original Issue Date

01/27/2004

Effective Date

01/19/2006

Expiration Date

03/31/2009

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009