NORTHERN ILLINOIS MEDICAL CENTER 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

203001307

License Status

NOT RENEWED

Business

Business Name

NORTHERN ILLINOIS MEDICAL CENTER

Original Issue Date

03/23/2011

Effective Date

03/30/2015

Expiration Date

03/31/2018

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

06/19/2018