ACTIVA 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

203000704

License Status

NOT RENEWED

Business

Business Name

ACTIVA MEDICAL SUPPLIES INC

Original Issue Date

06/15/2005

Effective Date

06/15/2005

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006