Detail by Officer/Registered Agent Name

Florida Profit Corporation

ADRIAN I. J. MEDINA, M.D., INC.

Filing Information
P02000055693 01-0694605 05/20/2002 05/15/2002 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 10/01/2004 NONE
Principal Address
1328 HOMESTEAD RD N
LEHIGH ACRES, FL 33936

Changed: 03/03/2003
Mailing Address
1328 HOMESTEAD RD N
LEHIGH ACRES, FL 33936

Changed: 03/03/2003
Registered Agent Name & Address MEDINA, ADRIAN I
1328 HOMESTEAD RD N
LEHIGH ACRES, FL 33936

Name Changed: 03/03/2003

Address Changed: 03/03/2003
Officer/Director Detail Name & Address

Title D

ADRIAN I. J. MEDINA
1328 HOMESTEAD RD N
LEHIGH ACRES, FL 33936

Annual Reports
Report YearFiled Date
2003 03/03/2003