| Entity Name: | DERREK S. DAVIS M.D., PLLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 17 Mar 2022 |
| Company Number: | LLC_11598994 |
| File Number: | 11598994 |
| Type of Management: | Manager Managed |
| Date Status Change: | 30 May 2024 |
| Address | 5333 MAIN ST., DOWNERS GROVE, 60515, IL |
| Place of Formation: | ILLINOIS |
| Name and Address | Role | Appointment Date |
|---|---|---|
| LYONS LAW GROUP, LLC, 5333 MAIN ST, DOWNERS GROVE, 60515 | Agent | 2022-03-17 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| DAVIS, DERREK S., 1030 GENEVA CIRCLE, GREENSBORO, GA, 30642 | Manager | 2024-05-30 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| LIMITED LIABILITY CO | 248004524 | No data | No data | PROFESSIONAL LIMITED LIABILITY COMPANY | No data | 2023-11-01 | 2023-11-01 | 2025-01-01 |
| Name | Change Date |
|---|---|
| DERREK S. DAVIS M.D., LLC | 2023-03-31 |
Date of last update: 20 Jan 2025
