| Entity Name: | LAKE SHORE MEDICAL CLINIC, LTD. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 25 Oct 1985 |
| Date of Dissolution: | 11 Mar 2022 |
| Company Number: | CORP_54023979 |
| File Number: | 54023979 |
| Type of Business: | Incorporated under the Medical Corporation Act |
| Date Status Change: | 11 Mar 2022 |
| Place of Formation: | ILLINOIS |
| Name and Address | Role | Appointment Date |
|---|---|---|
| EDWARD KOZINA, 2600 S MICHIGAN AVE, #30, CHICAGO, 60146, COOK-NOT IN CITY OF CHICAGO | Agent | 2019-02-05 |
| Name and Address | Role |
|---|---|
| ROCHELLE HAWKINS, MD 5020 S, LAKE SHORE DRIVE CHICAGO IL, 60 | President |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| MEDICAL CORP | 042005922 | No data | No data | REGISTERED MEDICAL CORPORATION | No data | 1986-01-17 | 2019-02-01 | 2022-01-01 |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 100000 | 1000000 | No data |
Date of last update: 13 Jan 2025
