SOURCE ONE MEDICAL INC - HME and Services Provider License in Illinois | # 203000769

SOURCE ONE MEDICAL INC

Business Entity

NOT RENEWED

License Type

HME and Services Provider

Description

HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER

License Number

203000769

License Status

NOT RENEWED

Business

Y

Business Name

SOURCE ONE MEDICAL INC

Original Issue Date

02/28/2006

Effective Date

01/20/2009

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012