| Name: | CEREBRAL MEDICAL GROUP, A PROFESSIONAL CORPORATION |
| Jurisdiction: | Alaska |
| Legal type: | Professional Corporation |
| Status: | Good Standing |
| Date of registration: | 18 Feb 2021 (4 years ago) |
| Entity Number: | 10155639 |
| Place of Formation: | ALASKA |
| Address: | 2093 PHILADELPHIA PIKE #9898, CLAYMONT, DE 19703 |
Line of Business
62 Health Care and Social AssistanceNAICS
621112 OFFICES OF PHYSICIANS, MENTAL HEALTH SPECIALISTS| Name | Role |
|---|---|
| Michael Boggs, M.D. | Director |
| Michael Boggs, M.D. | President |
| Michael Boggs, M.D. | Secretary |
| Michael Boggs, M.D. | Shareholder |
| Michael Boggs, M.D. | Treasurer |
| NATIONAL REGISTERED AGENTS, INC. | Registered Agent |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 2209518 | Business License | Active | 2025-01-14 | - | 2026-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621112 - OFFICES OF PHYSICIANS, MENTAL HEALTH SPECIALISTS |
| License Number | Program | Type | Status | Issue Date | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|
| 185761 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2021-10-21 | 2021-10-21 | - |
Date of last update: 24 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
