| Name: | INTERVENTIONAL SPINE ASSOCIATES, PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Inactive-Dissolved (Administrative) |
| Date of registration: | 16 Dec 2004 (20 years ago) |
| Financial Date End: | 31 Dec 2021 |
| Date dissolved: | 23 Mar 2022 |
| Entity Number: | 118307 |
| Place of Formation: | IDAHO |
| File Number: | 118307 |
| ZIP code: | 83714 |
| County: | Ada County |
| Principal Address: | 10337 W HECETA HEAD BOISE, ID 83714 |
| Mailing Address: | 10337 W HECETA HEAD DR BOISE, ID 83714-3658 |
| Name | Role | Address |
|---|---|---|
| THOMAS L LARK MD | Agent | 10337 W HECETA HEAD, BOISE, ID 83714 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Thomas L Lark MD | Manager | 10337 W HECETA HEAD DR, BOISE, ID 83714-3658 | 2021-01-13 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Dissolution/Revocation - Administrative | 0004667870 | 2022-03-23 |
| Annual Report | 0004134408 | 2021-01-13 |
| Annual Report | 0003742219 | 2020-01-09 |
| Annual Report | 0003409548 | 2019-01-23 |
| Annual Report | 0001369890 | 2018-01-02 |
| Annual Report | 0001369889 | 2016-12-23 |
| Annual Report | 0001369888 | 2015-10-22 |
| Annual Report | 0001369887 | 2014-12-11 |
| Annual Report | 0001369886 | 2013-12-31 |
| Annual Report | 0001369885 | 2012-12-15 |
Date of last update: 30 Nov 2024
Sources: Idaho Secretary of State
