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EGAN CLINIC, P.S.C.

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Company Details

Name: EGAN CLINIC, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 01 Mar 2012 (13 years ago)
Organization Date: 01 Mar 2012 (13 years ago)
Last Annual Report: 19 Sep 2018 (7 years ago)
Organization Number: 0811769
ZIP code: 40059
City: Prospect, River Bluff
Primary County: Jefferson County
Principal Office: 12945 WEST US HIGHWAY 42, PROSPECT, KY 40059
Place of Formation: KENTUCKY
Authorized Shares: 1000

President

Name Role
LYNN O. EGAN President

Incorporator

Name Role
DR. LYNN EGAN Incorporator

Registered Agent

Name Role
FBT LLC Registered Agent

Director

Name Role
LYNN O. EGAN Director

Shareholder

Name Role
LYNN O. EGAN Shareholder

National Provider Identifier

NPI Number:
1700150109

Authorized Person:

Name:
LYNN O EGAN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5022287533

Former Company Names

Name Action
THE EGAN CLINIC, P.S.C. Type Conversion

Filings

Name File Date
Administrative Dissolution Return 2019-12-11
Administrative Dissolution 2019-10-16
Annual Report Return 2019-08-06
Sixty Day Notice Return 2019-08-06
Annual Report 2018-09-19

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Sources: Kentucky Secretary of State