DIVINE HOME MEDICAL SUPPLIES INC - HME and Services Provider License in Illinois | # 203000530

DIVINE HOME MEDICAL SUPPLIES INC

Business Entity

NOT RENEWED

License Type

HME and Services Provider

Description

HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER

License Number

203000530

License Status

NOT RENEWED

Business

Y

Business Name

DIVINE HOME MEDICAL SUPPLIES INC

Original Issue Date

02/17/2004

Effective Date

02/17/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006