Detail by Officer/Registered Agent Name

Florida Limited Liability Company

LAKE WOMEN FOR WOMEN OB/GYN, LLC

Filing Information
L12000031486 80-0791827 03/05/2012 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/23/2016 NONE
Principal Address
2 NORTH EUSTIS STREET
EUSTIS, FL 32726

Changed: 05/23/2012
Mailing Address
2 NORTH EUSTIS STREET
EUSTIS, FL 32726

Changed: 05/23/2012
Registered Agent Name & Address ROGERS, MAMIE M.D.
2 NORTH EUSTIS STREET
EUSTIS, FL 32726

Name Changed: 05/23/2012

Address Changed: 05/23/2012
Authorized Person(s) Detail Name & Address

Title MGRM

ROGERS, MAMIE M.D.
2 NORTH EUSTIS STREET
EUSTIS, FL 32726

Title MGRM

MAYNE, MARILYN D.O.
2 NORTH EUSTIS STREET
EUSTIS, FL 32726

Annual Reports
Report YearFiled Date
2013 03/13/2013
2014 02/18/2014
2015 02/12/2015