C R PHARMACY SERVICE 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

203001622

License Status

NOT RENEWED

Business

Business Name

C R PHARMACY SERVICE INC

BusinessDBA

KELLY'S HOME MEDICAL, A CAREPRO AFFILIATE

Original Issue Date

11/26/2013

Effective Date

11/26/2013

Expiration Date

03/31/2015

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

05/11/2015