| Name: | Idaho Modern Medicine, PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 07 Aug 2019 (5 years ago) |
| Financial Date End: | 31 Aug 2025 |
| Entity Number: | 3590511 |
| Place of Formation: | IDAHO |
| File Number: | 676176 |
| ZIP code: | 83201 |
| County: | Bannock County |
| Principal Address: | STE E10 1000 POCATELLO CREEK RD POCATELLO, ID 83201-2953 |
| Name | Role | Address |
|---|---|---|
| Michael Anderson | Agent | 7510 W POCATELLO CREEK RD, POCATELLO, ID 83201 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Michael Anderson | Manager | 1000 POCATELLO CREEK RD, POCATELLO, ID 83201 | 2021-12-14 |
| Katie Anderson | Manager | 1000 POCATELLO CREEK RD, POCATELLO, ID 83201 | 2020-07-21 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005848389 | 2024-08-06 |
| Amendment to Certificate | 0005599741 | 2024-02-12 |
| Annual Report | 0005336214 | 2023-08-01 |
| Annual Report | 0004841377 | 2022-08-03 |
| Application for Reinstatement | 0004528338 | 2021-12-14 |
| Dissolution/Revocation - Administrative | 0004489606 | 2021-11-06 |
| Annual Report | 0003944282 | 2020-07-21 |
| Initial Filing | 0003590511 | 2019-08-07 |
Date of last update: 31 Dec 2024
Sources: Idaho Secretary of State
