SOURCE ONE MEDICAL 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

203000769

License Status

NOT RENEWED

Business

Business Name

SOURCE ONE MEDICAL INC

Original Issue Date

02/28/2006

Effective Date

01/20/2009

Expiration Date

03/31/2012

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012