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Preventive Health Medical Institute, PLLC

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Company Details

Name: Preventive Health Medical Institute, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 23 Jan 2019 (6 years ago)
Financial Date End: 31 Jan 2025
Date dissolved: 26 Apr 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

Agent

Name Role Address
RALPH M SUTHERLIN Agent 622 COLLEGE AVE, SUITE 2, ST MARIES, ID 83861

Member

Name Role Address Appointed On
Valerie E Sutherlin Member 1611 ROUND LAKE RD, ST MARIES, ID 83861 2024-02-11

Manager

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

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0006219294 2025-04-26
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

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Date of last update: 17 May 2025

Sources: Idaho Secretary of State