ACTIVE MEDICAL SUPPLY CO - HME and Services Provider License in Illinois | # 203001183

ACTIVE MEDICAL SUPPLY CO

Business Entity

NOT RENEWED

License Type

HME and Services Provider

Description

HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER

License Number

203001183

License Status

NOT RENEWED

Business

Y

Business Name

ACTIVE MEDICAL SUPPLY CO

Original Issue Date

04/09/2010

Effective Date

04/09/2010

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012