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

203000938

License Status

NOT RENEWED

Business

Business Name

ACTIVA MEDICAL SUPPLIES INC

Original Issue Date

07/31/2007

Effective Date

01/25/2012

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015