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DONALD L. WEESE, M.D., P.C.

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Company Details

Name: DONALD L. WEESE, M.D., P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved
Date of registration: 04 Oct 2002 (23 years ago)
Financial Date End: 31 Oct 2009
Date dissolved: 29 Dec 2008
Entity Number: 443757
Place of Formation: IDAHO
File Number: 0000443757
ZIP code: 83616
County: Ada County
Mailing Address: 4587 W CLEAR FIELD DR EAGLE, ID 83616

National Provider Identifier

NPI Number:
1194763151

Authorized Person:

Name:
DONALD L WEESE
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
208800000X - Urology Physician
Is Primary:
Yes

Contacts:

Fax:
2087350008

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0000899886 2008-12-29
Annual Report 0002881744 2008-10-28
Annual Report 0002881743 2007-08-15
Annual Report 0002881742 2006-08-17
Annual Report 0002881741 2005-08-10

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State