| Entity Name: | CONRAD PETERSEN DERMATOLOGY, S.C. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 11 Feb 2019 |
| Company Number: | CORP_72197348 |
| File Number: | 72197348 |
| Type of Business: | Incorporated under the Medical Corporation Act |
| Place of Formation: | ILLINOIS |
| Name and Address | Role | Appointment Date |
|---|---|---|
| PATRICK DARCY MCHALE, 1514 W WELLINGTON AVE, CHICAGO, 60657, COOK-NOT IN CITY OF CHICAGO | Agent | 2019-08-22 |
| Name and Address | Role |
|---|---|
| SAMANTHA CONRAD, MD 2845 N SHERIDAN RD STE 700 CHICAGO 60657 | President |
| Name and Address | Role |
|---|---|
| ERIN PETERSEN, MD 2845 N SHERIDAN RD STE 700 CHICAGO 60657 | Secretary |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| MEDICAL CORP | 042620990 | No data | No data | REGISTERED MEDICAL CORPORATION | No data | 2020-01-23 | 2024-10-01 | 2028-01-01 |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 1000 | 1000000 | No data |
Date of last update: 27 Jan 2025
