| Entity Name: | LAKE FOREST ENDOSCOPY PHYSICIAN GROUP, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Voluntary Diss./Terminated |
| Date Formed: | 29 May 2008 |
| Company Number: | LLC_02706318 |
| File Number: | 02706318 |
| Type of Management: | Manager Managed |
| Date Status Change: | 26 Feb 2014 |
| Address | 1475 E BELVIDERE RD STE 301, GRAYSLAKE, 60030, IL |
| Place of Formation: | ILLINOIS |
| Name and Address | Role | Appointment Date |
|---|---|---|
| MARVIN KAMENSKY, 7250 N. CICERO AVE., STE. 200, LINCOLNWOOD, 60712 | Agent | 2008-05-29 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| BLITSTEIN, M.D., MARK, 620 ACADEMY WOODS DR., LAKE FOREST, IL, 60045 | Manager | 2013-05-02 |
| LISSOOS, M.D., TREVOR, 1905 CLIFTON AVE., HIGHLAND PARK, IL, 60035 | Manager | 2013-05-02 |
| MARTINI, M.D., FRANK G., 5271 RFD, LONG GROVE, IL, 60047 | Manager | 2013-05-02 |
| TOSIOU, M.D., ALEXANDER, 625 DEERFIELD RD/APT 411, DEERFIELD, IL, 60015 | Manager | 2013-05-02 |
| TROY, M.D., TARA N., 2242 FORESTVIEW ROAD, EVANSTON, IL, 60201 | Manager | 2013-05-02 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| LIMITED LIABILITY CO | 248000134 | No data | No data | PROFESSIONAL LIMITED LIABILITY COMPANY | No data | 2011-05-25 | 2013-10-25 | 2015-01-01 |
Date of last update: 16 Jan 2025
