ACTIVE MEDICAL SUPPLY CO 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

203001183

License Status

NOT RENEWED

Business

Business Name

ACTIVE MEDICAL SUPPLY CO

Original Issue Date

04/09/2010

Effective Date

04/09/2010

Expiration Date

03/31/2012

City

WILLOW SPRINGS

State

Zip

60480

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012