| Name: | BOISE KETAMINE CLINIC PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 20 May 2016 (9 years ago) |
| Financial Date End: | 31 May 2025 |
| Entity Number: | 506096 |
| Place of Formation: | IDAHO |
| File Number: | 506096 |
| ZIP code: | 83705 |
| County: | Ada County |
| Principal Address: | 2800 W OVERLAND RD BOISE, ID 83705 |
| Mailing Address: | 2800 W OVERLAND RD BOISE, ID 83705-3038 |
| Name | Role | Address |
|---|---|---|
| NYKOL RICE | Agent | 13691 W ANNABROOK DR, BOISE, ID 83713 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Nykol B Rice | Member | 13691 W ANNABROOK DR, BOISE, ID 83713 | 2022-06-03 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Nykol B Rice | Manager | 13691 W ANNABROOK DR, BOISE, ID 83713 | 2021-04-26 | 2022-06-03 |
| Jeremy R Rice | Manager | 13691 W ANNABROOK DR, BOISE, ID 83713 | 2024-04-10 | No data |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005686851 | 2024-04-10 |
| Annual Report | 0005176571 | 2023-04-03 |
| Amendment to Certificate | 0004767396 | 2022-06-03 |
| Annual Report | 0004715447 | 2022-04-25 |
| Annual Report | 0004255811 | 2021-04-26 |
| Amendment to Certificate | 0003865313 | 2020-05-04 |
| Annual Report | 0003864804 | 2020-05-04 |
| Application for Reinstatement | 0003676575 | 2019-11-13 |
| Dissolution/Revocation - Administrative | 0003599711 | 2019-08-20 |
| Annual Report | 0003078148 | 2018-06-18 |
Date of last update: 23 Dec 2024
Sources: Idaho Secretary of State
