| Name: | Preventive Health Medical Institute, PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 23 Jan 2019 (6 years ago) |
| Financial Date End: | 31 Jan 2025 |
| Entity Number: | 3409297 |
| Place of Formation: | IDAHO |
| File Number: | 651748 |
| ZIP code: | 83712 |
| County: | Ada County |
| Principal Address: | DR. RALPH M. SUTHERLIN 102 2200 E. WARM SPRINGS AVE BOISE, ID 83712 |
| Mailing Address: | VALERIE SUTHERLIN 1611 E ROUND LAKE RD SAINT MARIES, ID 83861-8708 |
| Name | Role | Address |
|---|---|---|
| RALPH M SUTHERLIN | Agent | 622 COLLEGE AVE, SUITE 2, ST MARIES, ID 83861 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Valerie E Sutherlin | Member | 1611 ROUND LAKE RD, ST MARIES, ID 83861 | 2024-02-11 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| RALPH M SUTHERLIN | Manager | 1611 ROUND LAKE RD, ST MARIES, ID 83861 | 2022-12-31 | No data |
| Valerie E Sutherlin | Manager | 1611 ROUND LAKE RD, SAINT MARIES, ID 83861 | 2020-12-03 | 2022-12-31 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005598112 | 2024-02-11 |
| Application for Reinstatement | 0005042874 | 2022-12-31 |
| Dissolution/Revocation - Administrative | 0004702824 | 2022-04-19 |
| Annual Report | 0004085421 | 2020-12-03 |
| Annual Report | 0003772328 | 2020-02-06 |
| Initial Filing | 0003409297 | 2019-01-23 |
Date of last update: 30 Dec 2024
Sources: Idaho Secretary of State
