| Name: | LISA COONEY, M.D., A PROFESSIONAL CORPORATION |
| Jurisdiction: | Alaska |
| Legal type: | Professional Corporation |
| Status: | Good Standing |
| Date of registration: | 24 Dec 1997 (27 years ago) |
| Entity Number: | 62698D |
| ZIP code: | 99654 |
| County: | Matanuska Susitna |
| Place of Formation: | ALASKA |
| Address: | 5099 E BLUE LUPINE DR STE 217, WASILLA, AK 99654 |
| Mailing Address: | PO BOX 877031, WASILLA, AK 99687 |
Line of Business
62 Health Care and Social AssistanceNAICS
621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)| Name | Role |
|---|---|
| LISA COONEY | Director |
| LISA COONEY | President |
| LISA COONEY | Secretary |
| LISA COONEY | Shareholder |
| LISA COONEY | Treasurer |
| LISA COONEY | Vice President |
| Lisa Cooney | Registered Agent |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 403094 | Business License | Active | - | 2024-11-06 | 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 |
|---|---|---|---|---|---|---|
| 159429 | 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
