PROVIDA MEDICAL SUPPLY INC HME and Services Provider License verification

Business Entity

ACTIVE

License Type

HME and Services Provider

Description

HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER

License Number

203001360

License Status

ACTIVE

Business

Business Name

PROVIDA MEDICAL SUPPLY INC

Original Issue Date

10/27/2011

Effective Date

01/04/2024

Expiration Date

03/31/2027

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

02/23/2024