DWAYNE M. HANSEN M.D., PLLC
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| Name: | DWAYNE M. HANSEN M.D., PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 26 Mar 2002 (23 years ago) |
| Financial Date End: | 31 Mar 2026 |
| Entity Number: | 69460 |
| Place of Formation: | IDAHO |
| File Number: | 69460 |
| ZIP code: | 83440 |
| County: | Madison County |
| Principal Address: | PO BOX 185 REXBURG, ID 83440 |
| Mailing Address: | PO BOX 185 REXBURG, ID 83440-0185 |
| Name | Role | Address |
|---|---|---|
| DWAYNE M HANSEN MD | Agent | 1140 BARNEY DAIRY RD, REXBURG, ID 83440 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Dwayne M Hansen MD PLLC | Manager | 381 E 4TH N STREET, REXBURG, ID 83440 | 2021-02-03 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0006091540 | 2025-02-03 |
| Annual Report | 0005586780 | 2024-02-05 |
| Annual Report | 0005121590 | 2023-02-21 |
| Annual Report | 0004593403 | 2022-02-03 |
| Annual Report | 0004153508 | 2021-02-03 |
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Date of last update: 14 Jul 2025
Sources: Idaho Secretary of State