| Name: | West Fork Anesthesia, PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 05 Sep 2023 (2 years ago) |
| Financial Date End: | 30 Sep 2025 |
| Date dissolved: | 13 Dec 2024 |
| Entity Number: | 5382914 |
| Place of Formation: | IDAHO |
| File Number: | 896766 |
| ZIP code: | 83703 |
| County: | Ada County |
| Principal Address: | 1816 N 30TH ST BOISE, ID 83703-5921 |
| Name | Role | Address |
|---|---|---|
| Blaine Fisk | Agent | 1816 N 30TH ST, BOISE, ID 83703 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Application for Reinstatement | 0006078467 | 2025-01-23 |
| Dissolution/Revocation - Administrative | 0006023684 | 2024-12-13 |
| Initial Filing | 0005382914 | 2023-09-05 |
Date of last update: 27 Mar 2025
Sources: Idaho Secretary of State
