GREAT LAKES MEDICAL SUPPLY LLC - HME and Services Provider License in Michigan | # 203001375

GREAT LAKES MEDICAL SUPPLY LLC

Business Entity

NOT RENEWED

License Type

HME and Services Provider

Description

HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER

License Number

203001375

License Status

NOT RENEWED

Business

Y

Business Name

GREAT LAKES MEDICAL SUPPLY LLC

Original Issue Date

12/14/2011

Effective Date

12/14/2011

Expiration Date

03/31/2015

State

MI

Ever Disciplined

N

LastModifiedDate

05/11/2015