LAKE MEDICAL SUPPLIES INC - HME and Services Provider License in Illinois | # 203000109

LAKE MEDICAL SUPPLIES INC

Business Entity

NOT RENEWED

License Type

HME and Services Provider

Description

HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER

License Number

203000109

License Status

NOT RENEWED

Business

Y

Business Name

LAKE MEDICAL SUPPLIES INC

Original Issue Date

07/19/2000

Effective Date

02/20/2003

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006