| Name: | Lydia A. Jasa, M.D., Ltd. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 22 May 1996 (29 years ago) |
| Date of Dissolution: | 07 Oct 2005 (19 years ago) |
| Date of Status Change: | 07 Oct 2005 (19 years ago) |
| Identification Number: | 000089682 |
| ZIP code: | 02904 |
| County: | Providence County |
| Principal Address: | 1637 MINERAL SPRING AVE #205, NORTH PROVIDENCE, RI, 02904, USA |
| Purpose: | FOR THE GENERAL PRACTICE OF MEDICINE. |
| Name | Role | Address |
|---|---|---|
| LYDIA A. JASA | Agent | 1637 MINERAL SPRING AVENUE, NORTH PROVIDENCE, RI, 02904, USA |
| Name | Role | Address |
|---|---|---|
| LYDIA A JASA MD | PRESIDENT | 1637 MINERAL SPRING AVENUE NORTH PROVIDENCE, RI 02904- USA |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
