| Name: | BLACK CANYON MEDICAL GROUP PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Inactive-Dissolved (Administrative) |
| Date of registration: | 18 Jul 2017 (7 years ago) |
| Financial Date End: | 31 Jul 2023 |
| Date dissolved: | 04 Oct 2023 |
| Entity Number: | 563140 |
| Place of Formation: | IDAHO |
| File Number: | 563140 |
| ZIP code: | 83617 |
| County: | Gem County |
| Principal Address: | 1500 GEM ESTATES LN EMMETT, ID 83617 |
| Mailing Address: | 426 HIGHWAY 16 EMMETT, ID 83617-9427 |
| Name | Role | Address |
|---|---|---|
| TINA MCGUFFEY | Agent | 1500 GEM ESTATES LN, EMMETT, ID 83617 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Tina McGuffey MD | Manager | 1500 GEM ESTATES LN, EMMETT, ID 83617 | 2022-12-02 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Dissolution/Revocation - Administrative | 0005426738 | 2023-10-04 |
| Application for Reinstatement | 0005005891 | 2022-12-02 |
| Dissolution/Revocation - Administrative | 0003671048 | 2019-11-06 |
| Annual Report | 0003210568 | 2018-07-03 |
| Legacy Amendment | 0000931598 | 2018-03-12 |
| Initial Filing | 0000563140 | 2017-07-18 |
Date of last update: 25 Dec 2024
Sources: Idaho Secretary of State
