| Entity Name: | AFFIRM PSYCHOTHERAPY PLLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 15 Sep 2021 |
| Company Number: | LLC_10871662 |
| File Number: | 10871662 |
| Type of Management: | Manager Managed |
| Date Status Change: | 04 Sep 2024 |
| Address | 5 REVERE DRIVE, STE 200, NORTHBROOK, 60062, IL |
| Place of Formation: | ILLINOIS |
| Name and Address | Role | Appointment Date |
|---|---|---|
| MATTHEW D. FORMELLER, 233 S. WACKER DRIVE SUITE 6150, CHICAGO, 60606 | Agent | 2021-09-15 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| REYNOLDS, MARGARET, 5 REVERE DRIVE, STE 200, NORTHBROOK, IL, 60062 | Manager | 2024-09-04 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| LIMITED LIABILITY CO | 248003328 | No data | No data | PROFESSIONAL LIMITED LIABILITY COMPANY | No data | 2021-10-29 | 2021-10-29 | 2025-01-01 |
Date of last update: 16 Jan 2025
