West Fork Anesthesia, PLLC
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| 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: | 83704 |
| County: | Ada County |
| Principal Address: | 6910 W COPPER DR BOISE, ID 83704 |
| Mailing Address: | 6910 W COPPER DR BOISE, ID 83704-4617 |
| Name | Role | Address |
|---|---|---|
| Blaine Fisk | Agent | 1816 N 30TH ST, BOISE, ID 83703 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Amendment to Certificate | 0006202168 | 2025-04-09 |
| Statement of Change of Business Mailing Address | 0006202156 | 2025-04-09 |
| Application for Reinstatement | 0006078467 | 2025-01-23 |
| Dissolution/Revocation - Administrative | 0006023684 | 2024-12-13 |
| Initial Filing | 0005382914 | 2023-09-05 |
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Date of last update: 20 Jun 2025
Sources: Idaho Secretary of State