| Name: | Daniel Bothwell DO, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 28 Nov 2022 (2 years ago) |
| Entity Number: | 10214751 |
| ZIP code: | 99709 |
| County: | Fairbanks North Star |
| Place of Formation: | ALASKA |
| Address: | 605 CHIEF THOMAS DRIVE, FAIRBANKS, AK 99709 |
Line of Business
62 Health Care and Social AssistanceNAICS
621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)| Name | Role |
|---|---|
| Daniel Bothwell | Registered Agent |
| DANIEL BOTHWELL | Member |
| ELLEN MCEWAN | Manager |
| ELLEN MCEWAN | Member |
| DANIEL BOTHWELL | Manager |
| Type | License Number | Status | Date of issue | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| Business License | 2169515 | Active | 2022-11-28 | - | 2024-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
Date of last update: 11 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
