MIRACLE MEDICAL SUPPLY 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

203001257

License Status

NOT RENEWED

Business

Business Name

MIRACLE MEDICAL SUPPLY

Original Issue Date

09/20/2010

Effective Date

02/04/2015

Expiration Date

03/31/2018

City

INDIANAPOLIS

State

Zip

46268

County

INDIANA

Ever Disciplined

LastModifiedDate

06/19/2018