| Name: | Moscow Family Medicine MFM, PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 17 Sep 2020 (4 years ago) |
| Financial Date End: | 30 Sep 2025 |
| Entity Number: | 4006551 |
| Place of Formation: | IDAHO |
| File Number: | 726220 |
| ZIP code: | 83843 |
| County: | Latah County |
| Principal Address: | BRYN PARKER MD 623 S. MAIN ST. MOSCOW, ID 83843 |
| Mailing Address: | BRYN PARKER MD 623 S MAIN ST MOSCOW, ID 83843-2983 |
| Name | Role | Address |
|---|---|---|
| Bryn Parker | Agent | 623 S MAIN ST, MOSCOW, ID 83843 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Bryn Parker | Manager | 623 S. MAIN ST., MOSCOW, ID 83843 | 2021-09-14 | No data |
| Jacques Bouchard | Manager | 623 S MAIN ST, MOSCOW, ID 83843 | 2023-10-04 | No data |
| Meghan Shutte | Manager | 623 S MAIN ST, MOSCOW, ID 83843 | 2023-10-04 | 2023-10-04 |
| Jessica Bonnett | Manager | 623 S MAIN ST, MOSCOW, ID 83843 | 2023-10-04 | 2023-10-04 |
| Jacob Christensen | Manager | 623 S MAIN ST, MOSCOW, ID 83843 | 2023-10-04 | 2023-10-04 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005902732 | 2024-09-17 |
| Annual Report | 0005429431 | 2023-10-04 |
| Annual Report | 0004860689 | 2022-08-14 |
| Annual Report | 0004419499 | 2021-09-14 |
| Initial Filing | 0004006551 | 2020-09-17 |
Date of last update: 02 Jan 2025
Sources: Idaho Secretary of State
