PACIFIC MEDICAL EQUIP & SUPPLIES 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

203000626

License Status

NOT RENEWED

Business

Business Name

PACIFIC MEDICAL EQUIP & SUPPLIES

Original Issue Date

11/29/2004

Effective Date

03/06/2012

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015