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Ketamine Idaho, PLLC

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Company Details

Name: Ketamine Idaho, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 02 Sep 2020 (5 years ago)
Financial Date End: 30 Sep 2022
Date dissolved: 26 May 2022
Entity Number: 3990686
Place of Formation: IDAHO
File Number: 724093
ZIP code: 83404
County: Bonneville County
Principal Address: 3400 MERLIN DR IDAHO FALLS, ID 83404
Mailing Address: 3400 MERLIN DR IDAHO FALLS, ID 83404-7430

Agent

Name Role Address
BRUCE DENNEY Agent 3400 MERLIN DR, IDAHO FALLS, ID 83404

Manager

Name Role Address Appointed On
Jason Poston Manager 3400 MERLIN DR, IDAHO FALLS, ID 83404 2021-10-05

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0004758909 2022-05-26
Annual Report 0004438539 2021-10-05
Initial Filing 0003990686 2020-09-02

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Date of last update: 18 May 2025

Sources: Idaho Secretary of State