ACTIVA MEDICAL SUPPLIES INC - HME and Services Provider License in Illinois | # 203000938

ACTIVA MEDICAL SUPPLIES INC

Business Entity

NOT RENEWED

License Type

HME and Services Provider

Description

HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER

License Number

203000938

License Status

NOT RENEWED

Business

Y

Business Name

ACTIVA MEDICAL SUPPLIES INC

Original Issue Date

07/31/2007

Effective Date

01/25/2012

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015