| Name: | Ketamine Solution Center PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 19 Oct 2023 (a year ago) |
| Financial Date End: | 31 Oct 2025 |
| Entity Number: | 5444938 |
| Place of Formation: | IDAHO |
| File Number: | 903754 |
| ZIP code: | 83440 |
| County: | Madison County |
| Principal Address: | JEREMY JACKSON 72 E MAIN STREET REXBURG, ID 83440 |
| Mailing Address: | JEREMY JACKSON 1090 BARNEY DAIRY RD REXBURG, ID 83440-3542 |
| Name | Role | Address |
|---|---|---|
| Lyle Jackson | Agent | 1090 BARNEY DAIRY RD, REXBURG, ID 83440 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Lyle Jeremy Jackson | Member | 1090 BARNEY DAIRY RD, REXBURG, ID 83440 | 2024-09-03 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005879179 | 2024-09-03 |
| Initial Filing | 0005444938 | 2023-10-19 |
Date of last update: 23 Nov 2024
Sources: Idaho Secretary of State
