Detail by Officer/Registered Agent Name

Florida Limited Liability Company

ILLUMINATA MED SPA, LLC.

Filing Information
L11000111708 45-3463430 09/29/2011 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/22/2017 NONE
Principal Address
6645 VINELAND RD
SUITE 270
ORLANDO, FL 32819
Mailing Address
7201 LAKE DRIVE
SANFORD, FL 32819
Registered Agent Name & Address BREWERLONG PLLC
620 N Wymore Rd
Suite 270
MAITLAND, FL 32751

Address Changed: 04/10/2014
Authorized Person(s) Detail Name & Address

Title MGR

BUTLER, DAVID B
7201 LAKE DRIVE
SANFORD, FL 32771

Title MGR

BUTLER, TAMI L
7201 LAKE DRIVE
SANFORD, FL 32771

Annual Reports
Report YearFiled Date
2014 04/10/2014
2015 04/30/2015
2016 04/21/2016