| Entity Name: | PHYSICIANS CREDENTIALING BUREAU, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 15 Jun 1992 (33 years ago) |
| Date of dissolution: | 16 Oct 1998 (26 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 16 Oct 1998 (26 years ago) |
| Document Number: | V43695 |
| FEI/EIN Number | 65-0287169 |
| Address: | 3175 S. CONGRESS, STE. #306, LAKE WORTH, FL 33461 |
| Mail Address: | CRENSHAW, KENNETH, 3175 S. CONGRESS AVE STE. 301, PALM SPRINGS, FL 33461 |
| ZIP code: | 33461 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| CRESHAW, KENNETH | Agent | 3175 S. CONGRESS AVE, STE 301, STE. #306, PALM SPRINGS, FL 33461 |
| Name | Role | Address |
|---|---|---|
| CIVIELLO, JACINTHA | Director | 3175 S. CONGRESS AVE., LAKE WORTH, FL 33461 |
| BRINKMAN, KARIN | Director | 3175 S. CONGRESS AVE., LAKE WORTH, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1998-10-16 | No data | No data |
| CHANGE OF MAILING ADDRESS | 1997-05-01 | 3175 S. CONGRESS, STE. #306, LAKE WORTH, FL 33461 | No data |
| REGISTERED AGENT NAME CHANGED | 1997-05-01 | CRESHAW, KENNETH | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1997-05-01 | 3175 S. CONGRESS AVE, STE 301, STE. #306, PALM SPRINGS, FL 33461 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1994-04-13 | 3175 S. CONGRESS, STE. #306, LAKE WORTH, FL 33461 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 1997-05-01 |
| ANNUAL REPORT | 1996-05-01 |
| ANNUAL REPORT | 1995-05-01 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
