J & S KELLY LLC HME and Services Provider License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

HME and Services Provider

Description

HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER

License Number

203000826

License Status

CHANGE OF OWNERSHIP

Business

Business Name

J & S KELLY LLC

Original Issue Date

07/21/2006

Effective Date

01/17/2012

Expiration Date

03/31/2015

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

01/17/2012