| Name: | Vitality Lifestyle Medicine PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 09 Nov 2018 (6 years ago) |
| Financial Date End: | 30 Nov 2024 |
| Entity Number: | 3346105 |
| Place of Formation: | IDAHO |
| File Number: | 643230 |
| ZIP code: | 83616 |
| County: | Ada County |
| Principal Address: | 3322 S FOX LEASH AVE EAGLE, ID 83616-7190 |
| Mailing Address: | DR. BRIDGETTE BAKER 310 HIGHPARK DR ANACONDA, MT 59711-6195 |
| Name | Role | Address |
|---|---|---|
| BRIDGETTE BAKER | Agent | 3322 S FOX LEASH AVE, EAGLE, ID 83616 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Application for Reinstatement | 0005734032 | 2024-05-10 |
| Dissolution/Revocation - Administrative | 0003773559 | 2020-02-06 |
| Statement of Conversion | 0003363550 | 2018-11-29 |
| Initial Filing | 0003346105 | 2018-11-09 |
Date of last update: 30 Dec 2024
Sources: Idaho Secretary of State
