| Name: | Magnolia Family Medicine, LLC |
| Jurisdiction: | MISSISSIPPI |
| Business Type: | Name Reservation |
| Status: | Expired |
| Effective Date: | 07 Jan 2005 (20 years ago) |
| Business ID: | 865921 |
| ZIP code: | 38843 |
| County: | Itawamba |
| State of Incorporation: | MISSISSIPPI |
| Principal Office Address: | 101 FRANCIS DRFULTON, MS 38843 |
| Historical names: |
Magnolia Family Medicine, PLLC |
| Name | Role | Address |
|---|---|---|
| Montgomery, Lee | Agent | 101 Francis Dr, Fulton, MS 38843 |
| Name | Role | Address |
|---|---|---|
| Lee Montgomery | Member | 1074 Brandon Drive, McComb, MS 39648 |
| Montgomery Lee | Member | 12036 OAK HAVEN AVE, BATON ROUGE, LA 70810 |
| Jennifer D Gholson | Member | 1095 Deerfield, Summit, MS 39666 |
| Type | Status | Filed Date | Description |
|---|---|---|---|
| Name Reservation Form | Filed | 2005-01-07 | Name Reservation |
Date of last update: 09 Jan 2025
Sources: Mississippi Secretary of State
