MIRACLE MEDICAL SUPPLY - HME and Services Provider License in Illinois | # 203000484

MIRACLE MEDICAL SUPPLY

Business Entity

NOT RENEWED

License Type

HME and Services Provider

Description

HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER

License Number

203000484

License Status

NOT RENEWED

Business

Y

Business Name

MIRACLE MEDICAL SUPPLY

Original Issue Date

09/02/2003

Effective Date

04/18/2012

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015