| Entity Name: | MAXICARE VISITING PHYSICIAN, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 12 Jun 2017 |
| Date of Dissolution: | 08 Nov 2019 |
| Company Number: | CORP_71296784 |
| File Number: | 71296784 |
| Type of Business: | All Inclusive Purpose |
| Date Status Change: | 08 Nov 2019 |
| Address | 3300 W PETERSON AVE 1ST H, CHICAGO, IL, 60659 |
| Place of Formation: | ILLINOIS |
| Name and Address | Role | Appointment Date |
|---|---|---|
| YOUNGIN KIM, 3300 W PETERSON AVE STE D, CHICAGO, 60659, COOK-NOT IN CITY OF CHICAGO | Agent | 2017-06-12 |
| Name and Address | Role | Account Number |
|---|---|---|
| NELSON MERCADO 3300 W PETERSON #D CHGO IL 60659 | President | 422663 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| BUSINESS LICENSE | 2564225 | Issued | 1010 | Limited Business License | 464 - Provide Home Health Care Services | 2017-10-26 | 2017-10-26 | 2019-11-15 |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 1000000 | 10000000 | No data |
Date of last update: 20 Jan 2025
