MIRACLE MEDICAL SUPPLY - HME and Services Provider License in Indiana | # 203001257

MIRACLE MEDICAL SUPPLY

Business Entity

NOT RENEWED

License Type

HME and Services Provider

Description

HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER

License Number

203001257

License Status

NOT RENEWED

Business

Y

Business Name

MIRACLE MEDICAL SUPPLY

Original Issue Date

09/20/2010

Effective Date

02/04/2015

Expiration Date

03/31/2018

State

IN

Ever Disciplined

N

LastModifiedDate

06/19/2018