| Name: | Idaho Street Medical Clinic PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 14 Feb 2019 (6 years ago) |
| Financial Date End: | 28 Feb 2025 |
| Entity Number: | 3430438 |
| Place of Formation: | IDAHO |
| File Number: | 654768 |
| ZIP code: | 83628 |
| County: | Owyhee County |
| Principal Address: | 126 W. IDAHO STREET HOMEDALE, ID 83628 |
| Mailing Address: | PO BOX 37 HOMEDALE, ID 83628-0037 |
| Name | Role | Address |
|---|---|---|
| EDITH ROE | Agent | 24900 MARKET RD, PARMA, ID 83660 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| EDITH ROE | Member | 24900 MARKET ROAD, PARMA, ID 83628 | 2021-10-27 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005586689 | 2024-02-05 |
| Annual Report | 0005061059 | 2023-01-11 |
| Annual Report | 0004593103 | 2022-02-03 |
| Application for Reinstatement | 0004461666 | 2021-10-27 |
| Dissolution/Revocation - Administrative | 0003870703 | 2020-05-07 |
| Statement of Change of Business Mailing Address | 0003436670 | 2019-02-28 |
| Initial Filing | 0003430438 | 2019-02-14 |
Date of last update: 30 Dec 2024
Sources: Idaho Secretary of State
