STATE MEDICAL SUPPLY PROVIDER 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

203001403

License Status

NOT RENEWED

Business

Business Name

STATE MEDICAL SUPPLY PROVIDER INC

Original Issue Date

02/14/2012

Effective Date

04/12/2018

Expiration Date

03/31/2021

City

SAINT LOUIS

State

Zip

63114

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/20/2021