| Name: | EVERGREEN PHYSICAL MEDICINE LLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Inactive-Dissolved (Administrative) |
| Date of registration: | 24 Jan 2018 (7 years ago) |
| Financial Date End: | 31 Jan 2020 |
| Date dissolved: | 08 Apr 2020 |
| Entity Number: | 590200 |
| Place of Formation: | IDAHO |
| File Number: | 590200 |
| ZIP code: | 83646 |
| County: | Ada County |
| Principal Address: | 1710 W CHERRY LN MERIDIAN, ID 83646 |
| Mailing Address: | 1710 W CHERRY LN MERIDIAN, ID 83642-1340 |
| Name | Role | Address |
|---|---|---|
| MATTHEW HALES | Agent | 1710 W CHERRY LN, MERIDIAN, ID 83642 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Dissolution/Revocation - Administrative | 0003838681 | 2020-04-08 |
| Change of Registered Office/Agent/Both (by Entity) | 0003420445 | 2019-02-01 |
| Annual Report | 0003417909 | 2019-01-30 |
| Initial Filing | 0000590200 | 2018-01-24 |
Date of last update: 27 Dec 2024
Sources: Idaho Secretary of State
