| Entity Name: | CCW PHYSICIAN ASSISTANT, PLLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Involuntary Dissolution |
| Date Formed: | 28 Apr 2022 |
| Company Number: | LLC_11005543 |
| File Number: | 11005543 |
| Type of Management: | Manager Managed |
| Date Status Change: | 11 Oct 2024 |
| Address | 10132 HICKORY RD., TREMONT, 61568, IL |
| Place of Formation: | ILLINOIS |
| Name and Address | Role | Appointment Date |
|---|---|---|
| CAITLYN C. WAGENBACH, 10132 HICKORY RD., TREMONT, 61568 | Agent | 2022-04-28 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| CAITLYN WAGENBACH, 10132 HICKORY RD., TREMONT, IL, 61568 | Manager | 2022-04-28 |
Date of last update: 13 Jan 2025
