Nevada Annual Report
Dissolved

provenance healthcare, llc

Domestic Limited-Liability Company · Entity Number E0183122015-5 · NV Business ID NV20151231525

Formed
April 13, 2015
Annual List
Due by April 30, 2018
Managed by
Managers
Status changed
April 24, 2018

Registered agent

MARK L. BLACK

10300 WEST CHARLESTON BLVD STE #13-577 · LAS VEGAS, NV 89135

Principal office

Not on file

Mailing address

Not on file

Officers, managers, and members

NameRoleAddress
MARK L BLACKManager1930 VILLAGE CENTER CIRCLE #3-704 · LAS VEGAS, NV 89134
ROBB K ROWLEYManager5155 S. DURANGO DRIVE, STE 103 · LAS VEGAS, NV 89113

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