| Name: | Kimberly J. Wonderlich, MD, FAAD Dermatology, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 23 Jan 2015 (10 years ago) |
| Entity Number: | 10026482 |
| ZIP code: | 99709 |
| County: | Fairbanks North Star |
| Place of Formation: | ALASKA |
| Address: | 2775 COLLEGE RD, FAIRBANKS, AK 99709 |
Line of Business
62 Health Care and Social AssistanceNAICS
621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)| Name | Role |
|---|---|
| Kimberly J. Wonderlich, MD | Member |
| Kimberly Wonderlich | Registered Agent |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 1017364 | Business License | Active | 2015-01-30 | 2023-12-06 | 2025-12-31 | 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 |
|---|---|---|---|---|---|---|
| 159411 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2020-03-26 | 2020-03-26 | - |
Date of last update: 24 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
