ROCKFORD ORTHOPEDIC APPLIANCE 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

203001179

License Status

CHANGE OF OWNERSHIP

Business

Business Name

ROCKFORD ORTHOPEDIC APPLIANCE

Original Issue Date

03/29/2010

Effective Date

03/29/2010

Expiration Date

03/31/2012

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/10/2012