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

203000972

License Status

NOT RENEWED

Business

Business Name

SOURCE ONE MEDICAL INC

Original Issue Date

12/21/2007

Effective Date

03/22/2012

Expiration Date

03/31/2015

City

BRIDGEVIEW

State

Zip

60455

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015