| Name: | Ketamine Infusions of Idaho, PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 19 Jun 2020 (5 years ago) |
| Financial Date End: | 30 Jun 2025 |
| Entity Number: | 3912214 |
| Place of Formation: | IDAHO |
| File Number: | 714209 |
| ZIP code: | 83406 |
| County: | Bonneville County |
| Principal Address: | 1534 MIDWAY AVE. AMMON, ID 83406 |
| Mailing Address: | DANIEL WILKERSON 690 S WOODRUFF AVE IDAHO FALLS, ID 83401 |
| Name | Role | Address |
|---|---|---|
| Daniel Wilkerson | Agent | 700 S WOODRUFF AVENUE, DANIEL WILKERSON, IDAHO FALLS, ID 83403 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| CHRISTINA STUBBS | Manager | 1534 MIDWAY AVE, AMMON, ID 83406 | 2023-06-06 | No data |
| Christina Stubbs | Manager | 1534 MIDWAY AVE., AMMON, ID 83406 | 2021-02-12 | 2023-06-06 |
| Christina Clinton | Manager | 1534 MIDWAY AVE., AMMON, ID 83406 | 2021-02-03 | 2021-02-12 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Statement of Change of Business Mailing Address | 0005745421 | 2024-05-22 |
| Annual Report | 0005719114 | 2024-05-03 |
| Annual Report | 0005268961 | 2023-06-06 |
| Annual Report | 0004746201 | 2022-05-13 |
| Annual Report | 0004266784 | 2021-05-04 |
| Amendment to Certificate | 0004173990 | 2021-02-12 |
| Amendment to Certificate | 0004154810 | 2021-02-03 |
| Initial Filing | 0003912214 | 2020-06-19 |
Date of last update: 02 Jan 2025
Sources: Idaho Secretary of State
