SPORTS MEDICINE GROUP, P.S.
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| Legal Name: | SPORTS MEDICINE GROUP, P.S. |
| Jurisdiction: | WASHINGTON |
| Entity Type: | WA NONPROFIT PROFESSIONAL SERVICE CORPORATION |
| Category: | DOMESTIC ENTITY |
| Status: | Administratively Dissolved |
| Formation/ Registration Date: | October 19th 1995 |
| Date of Dissolution: | April 21st 2016 |
| Expiration date: | 31 Oct 2016 |
| UBI Number: | 601 664 888 |
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| Name | Role | Address |
|---|---|---|
| MARGARETPEYTON | Registered Agent | 701 5TH AVE STE 700, SEATTLE, WA, 98104, UNITED STATES |
| Name | Role | Address |
|---|---|---|
| THOMAS JANSEN M.D. | Governing Person | 10330 MERIDIAN AVE N STE 300, SEATTLE, WA, 98133, UNITED STATES |
| CHRISTIAN PERSON D.O. | Governing Person | 10330 MERIDIAN AVE N STE 300, SEATTLE, WA, 98133, UNITED STATES |
| RICHARD BOUCHE D.P.M. | Governing Person | 10330 MERIDIAN AVE N STE 300, SEATTLE, WA, 98133, UNITED STATES |
| * ADDITIONAL NAMES ON FILE | Governing Person | 10330 MERIDIAN AVE N STE 300, SEATTLE, WA, 98133, UNITED STATES |
| MITCHEL STOREY D.O. | Governing Person | 10330 MERIDIAN AVE N STE 300, SEATTLE, WA, 98133, UNITED STATES |
| EDWARD BLAHOUS D.P.M | Governing Person | 10330 MERIDIAN AVE N STE 300, SEATTLE, WA, 98133, UNITED STATES |