| Entity Name: | CHILD AND ADOLESCENT NEUROPSYCHOLOGY SERVICES OF SOUTHERN ILLINOIS, PLLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 16 May 2019 |
| Company Number: | LLC_07591047 |
| File Number: | 07591047 |
| Type of Management: | Manager Managed |
| Date Status Change: | 28 Apr 2024 |
| Address | 285 LAKE INDIAN HILLS DR., CARBONDALE, 62902, IL |
| Place of Formation: | ILLINOIS |
| Name and Address | Role | Appointment Date |
|---|---|---|
| MICHELLE Y KIBBY FAGLIER, 285 LAKE INDIAN HILLS DR., CARBONDALE, 62902 | Agent | 2019-05-16 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| FAGLIER, MICHELLE KIBBY, 285 LAKE INDIAN HILLS DR., CARBONDALE, IL, 62902 | Manager | 2024-04-28 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| LIMITED LIABILITY CO | 248002617 | No data | No data | PROFESSIONAL LIMITED LIABILITY COMPANY | No data | 2019-06-07 | 2021-10-29 | 2025-01-01 |
Date of last update: 23 Dec 2024
