| Entity Name: | LON A. BOUTIETTE M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Sep 1997 (27 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P97000080616 |
| FEI/EIN Number | 593467491 |
| Address: | 130 Magnolia Ave SE, Fort Walton Beach, FL, 32548, US |
| Mail Address: | 130 Magnolia Ave SE, Fort Walton Beach, FL, 32548, US |
| ZIP code: | 32548 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| BOUTIETTE LON Dr. | Agent | 130 Magnolia Ave SE, Fort Walton Beach, FL, 32548 |
| Name | Role | Address |
|---|---|---|
| Boutiette Lon Dr. | President | 130 Magnolia Ave SE, Fort Walton Beach, FL, 32548 |
| Name | Role | Address |
|---|---|---|
| Boutiette Lon Dr. | Director | 130 Magnolia Ave SE, Fort Walton Beach, FL, 32548 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-22 | 130 Magnolia Ave SE, Fort Walton Beach, FL 32548 | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-22 | 130 Magnolia Ave SE, Fort Walton Beach, FL 32548 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-22 | 130 Magnolia Ave SE, Fort Walton Beach, FL 32548 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-02-24 | BOUTIETTE, LON, Dr. | No data |
| REINSTATEMENT | 2000-03-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1999-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-01-22 |
| ANNUAL REPORT | 2017-01-25 |
| ANNUAL REPORT | 2016-03-15 |
| ANNUAL REPORT | 2015-03-27 |
| ANNUAL REPORT | 2014-02-24 |
| ANNUAL REPORT | 2013-03-21 |
| ANNUAL REPORT | 2012-04-14 |
| ANNUAL REPORT | 2011-03-29 |
| ANNUAL REPORT | 2010-03-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
