DIVINE HOME MEDICAL SUPPLIES 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

203000530

License Status

NOT RENEWED

Business

Business Name

DIVINE HOME MEDICAL SUPPLIES INC

Original Issue Date

02/17/2004

Effective Date

02/17/2004

Expiration Date

03/31/2006

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006