| Entity Name: | BAXLEY FAMILY MEDICINE, PLLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 31 May 2024 |
| Company Number: | LLC_14758461 |
| File Number: | 14758461 |
| Type of Management: | Manager Managed |
| Date Status Change: | 31 May 2024 |
| Address | 2501 CHATHAM RD STE N, SPRINGFIELD, 62704, IL |
| Place of Formation: | ILLINOIS |
| Name and Address | Role | Appointment Date |
|---|---|---|
| NORTHWEST REGISTERED AGENT SERVICE, INC., 2501 CHATHAM RD SUITE N, SPRINGFIELD, 62704 | Agent | 2024-05-31 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| BAXLEY MD, FRANCES, 200 E RANDOLPH ST SUITE 5100, CHICAGO, IL, 60601 | Manager | 2024-05-31 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| LIMITED LIABILITY CO | 248005286 | No data | No data | PROFESSIONAL LIMITED LIABILITY COMPANY | No data | 2024-09-16 | 2024-09-16 | 2025-01-01 |
Date of last update: 23 Jan 2025
