KOOTENAI MEDICAL CLINIC, PLLC
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| Legal Name: | KOOTENAI MEDICAL CLINIC, PLLC |
| Jurisdiction: | WASHINGTON |
| Entity Type: | WA PROFESSIONAL LIMITED LIABILITY COMPANY |
| Category: | DOMESTIC ENTITY |
| Status: | Administratively Dissolved |
| Formation/ Registration Date: | May 7th 2012 |
| Date of Dissolution: | September 2nd 2014 |
| Expiration date: | 31 May 2014 |
| UBI Number: | 603 205 034 |
| Home State: | IDAHO |
| Principal Office Street Address: |
2003 LINCOLN WAY, COEUR D'ALENE, ID, 83814, UNITED STATES
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| Name | Role | Address |
|---|---|---|
| ELEVEN FOURTEEN, INC. | Registered Agent | 422 W RIVERSIDE AVE, SUITE 1100, SPOKANE, WA, 99201, UNITED STATES |
| Name | Role | Address |
|---|---|---|
| MD FAIRFAX | Governing Person | 5267 W HIGHLAND DR, COEUR D'ALENE, ID, 83814, UNITED STATES |