| Name: | FAMILY PRACTICE BY THE LAKE, LLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 04 Apr 2018 (7 years ago) |
| Financial Date End: | 30 Apr 2025 |
| Entity Number: | 602768 |
| Place of Formation: | IDAHO |
| File Number: | 602768 |
| ZIP code: | 83814 |
| County: | Kootenai County |
| Principal Address: | 1875 N LAKEWOOD DR STE 205 COEUR D ALENE, ID 83814 |
| Mailing Address: | JACQUELINE WAGNER STE 205 1875 N LAKEWOOD DR COEUR D ALENE, ID 83814-4928 |
| Name | Role | Address |
|---|---|---|
| JACQUELINE WAGNER | Agent | 1875 N LAKEWOOD DR., 205, JACQUELINE WAGNER, ARNP, COEUR D ALENE, ID 83814 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| JACQUELINE WAGNER | Member | 1875 N LAKEWOOD DR, COEUR D ALENE, ID 83814 | 2020-07-09 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005697769 | 2024-04-19 |
| Annual Report | 0005217008 | 2023-05-02 |
| Annual Report | 0004650599 | 2022-03-09 |
| Annual Report | 0004237401 | 2021-04-06 |
| Application for Reinstatement | 0003932075 | 2020-07-09 |
| Dissolution/Revocation - Administrative | 0003926212 | 2020-07-03 |
| Annual Report | 0003531304 | 2019-06-04 |
| Legacy Amendment | 0000937422 | 2018-09-17 |
| Initial Filing | 0000602768 | 2018-04-04 |
Date of last update: 27 Dec 2024
Sources: Idaho Secretary of State
