| | Organization Number | 0161113 |
| | Name | ROBERT S. SHIPP, M.D., P.S.C. |
| | Profit or Non-Profit | P - Profit |
| | Company Type | KPS - Kentucky Professional Services Corp |
| | Status | I - Inactive |
| | Standing | B - Bad |
| | State | KY |
| | File Date | 10/26/1981 |
| | Organization Date | 10/26/1981 |
| | Last Annual Report | 3/3/2005 |
| | Principal Office | 1463 CAMPBELLSVILLE ROAD
P.O. BOX 579
COLUMBIA, KY 42728 |
| | Registered Agent | ROBERT S. SHIPP, M.D.
1463 CAMPBELLSVILLE ROAD
PO BOX 579
COLUMBIA, KY 42728 |
| | Common No Par Shares | 100 |
