| Name: | Brittany Blockman, M.D., Professional Corporation |
| Jurisdiction: | Idaho |
| Legal type: | Professional Service Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 11 May 2023 (2 years ago) |
| Financial Date End: | 31 May 2025 |
| Entity Number: | 5240097 |
| Place of Formation: | IDAHO |
| File Number: | 878772 |
| ZIP code: | 83702 |
| County: | Ada County |
| Mailing Address: | 1115 N 21ST ST BOISE, ID 83702-3218 |
| Name | Role | Address |
|---|---|---|
| Brittany Blockman | Agent | 1115 N 21ST STREET, BOISE, ID 83702 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Brittany Blockman | Director | 1115 N. 21ST STREET, BOISE, ID 83702 | 2024-06-11 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005774221 | 2024-06-11 |
| Initial Filing | 0005240097 | 2023-05-11 |
Date of last update: 08 Jan 2025
Sources: Idaho Secretary of State
