Detail by Officer/Registered Agent Name

Florida Limited Liability Company

PAIN CLINIC OF FORT LAUDERDALE, LLC

Filing Information
L07000078622 20-0792321 07/31/2007 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/28/2012 NONE
Principal Address
5201 HOLLYWOOD BLVD
HOLLYWOOD, FL 33021

Changed: 04/07/2009
Mailing Address
130 JOHN F. KENNEDY DRIVE
SUITE 134
ATLANTIS, FL 33462
Registered Agent Name & Address COHEN, EARL M
2505 NW BOCA RATON BLVD., STE. 202
BOCA RATON, FL 33431

Name Changed: 12/20/2010

Address Changed: 12/20/2010
Authorized Person(s) Detail Name & Address

Title MGRM

A PAIN CLINIC LLC
130 JOHN F. KENNEDY DRIVE, SUITE 134
ATLANTIS, FL 33462

Annual Reports
Report YearFiled Date
2009 04/07/2009
2010 04/09/2010
2011 04/07/2011