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I.C.C. MEDICAL, LLC

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Company Details

Name: I.C.C. MEDICAL, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 27 Apr 2006 (19 years ago)
Organization Date: 27 Apr 2006 (19 years ago)
Last Annual Report: 21 Apr 2010 (15 years ago)
Managed By: Members
Organization Number: 0637572
ZIP code: 42141
City: Glasgow, Lamb
Primary County: Barren County
Principal Office: 405 SOUTH L. ROGERS WELLS BLVD., GLASGOW, KY 42141
Place of Formation: KENTUCKY

Member

Name Role
ROGER TODD WILLIAMS Member

Organizer

Name Role
ROGER TODD WILLIAMS Organizer

Registered Agent

Name Role
TODD WILLIAMS Registered Agent

National Provider Identifier

NPI Number:
1376730705

Authorized Person:

Name:
DR. ROGER WILLIAMS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2708348899

Filings

Name File Date
Administrative Dissolution Return 2011-09-22
Administrative Dissolution 2011-09-10
Sixty Day Notice Return 2011-07-19
Annual Report Return 2011-04-13
Annual Report Return 2011-04-13

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Sources: Kentucky Secretary of State