Detail by Officer/Registered Agent Name

Florida Profit Corporation

PHYSICIAN CLINICAL LABORATORIES, INC.

Filing Information
P97000053493 59-3463879 06/16/1997 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/22/2000 NONE
Principal Address
2796 SUMMERDALE DRIVE NORTH
CLEARWATER, FL 33761

Changed: 08/27/1999
Mailing Address
2796 SUMMERDALE DRIVE NORTH
CLEARWATER, FL 33761

Changed: 08/27/1999
Registered Agent Name & Address VERONA & FREEMAN, P.A.
7235 FIRST AVENUE SOUTH
ST. PETERSBURG, FL 33707

Name Changed: 06/01/1998

Address Changed: 06/01/1998
Officer/Director Detail Name & Address

Title D

SHAH, SURYAKANT
30 HOLY CAKE CRESENT
REXDALE, ONTARIO, CANADA, OC NAW6H

Annual Reports
Report YearFiled Date
1998 06/01/1998
1999 08/27/1999