| Name: | PORTNEUF MEDICAL AESTHETICS, PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 04 May 2018 (7 years ago) |
| Financial Date End: | 31 May 2025 |
| Entity Number: | 607801 |
| Place of Formation: | IDAHO |
| File Number: | 607801 |
| ZIP code: | 83201 |
| County: | Bannock County |
| Principal Address: | STE 3C 611 WILSON AVE POCATELLO, ID 83201-5046 |
| Mailing Address: | PO BOX 4414 POCATELLO, ID 83205-4414 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Jesse Tellez Hernandez DNP, FNP-C | Member | 4415 OPAL AVENUE, POCATELLO, ID 83204 | 2022-09-01 | No data |
| Jesse Tellez-Hernandez | Member | 370 VIA VENITIO DRIVE, POCATELLO, ID 83201 | 2022-03-07 | 2022-09-01 |
| Jesse Tellez Hernandez | Member | 611 WILSON AVENUE SUITE, POCATELLO, ID 83201 | 2024-04-23 | No data |
| Jesus Tellez-Hernandez | Member | 370 VIA VENITIO DRIVE, POCATELLO, ID 83201 | 2021-06-09 | 2022-03-07 |
| Name | Role | Address |
|---|---|---|
| Jesse Tellez Hernandez | Agent | 611 WILSON AVENUE, SUITE 3C, POCATELLO, ID 83201 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005701959 | 2024-04-23 |
| Application for Reinstatement | 0005565258 | 2024-01-18 |
| Dissolution/Revocation - Administrative | 0005349136 | 2023-08-04 |
| Application for Reinstatement | 0004875456 | 2022-09-01 |
| Dissolution/Revocation - Administrative | 0004850931 | 2022-08-06 |
| Amendment to Certificate | 0004655554 | 2022-03-11 |
| Change of Registered Office/Agent/Both (by Entity) | 0004652338 | 2022-03-10 |
| Amendment to Certificate | 0004638220 | 2022-03-07 |
| Annual Report | 0004311494 | 2021-06-09 |
| Annual Report | 0003901039 | 2020-06-04 |
Date of last update: 28 Dec 2024
Sources: Idaho Secretary of State
