| Name: | Functional Medicine Clinics LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 13 Apr 2017 (8 years ago) |
| Entity Number: | 10056296 |
| ZIP code: | 99701 |
| County: | Fairbanks North Star |
| Place of Formation: | ALASKA |
| Address: | 1261 AIRPORT WAY SUITE 110, FAIRBANKS, AK 99701 |
| Mailing Address: | 74923 HWY 111 #238, INDIAN WELLS, CA 92210 |
Line of Business
62 Health Care and Social AssistanceNAICS
621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)| Name | Role |
|---|---|
| George O. Rice | Manager |
| George O. Rice | Member |
| Vellum Registered Agent Inc. | Registered Agent |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 1053247 | Business License | Active | 2017-04-17 | 2024-12-03 | 2026-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| License Number | Program | Type | Status | Issue Date | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|
| 159789 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2020-04-01 | 2020-04-01 | - |
Date of last update: 23 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
