| | Organization Number | 0489406 |
| | Name | JESUS P. QUERUBIN, JR., 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 | 2/14/2000 |
| | Organization Date | 2/14/2000 |
| | Last Annual Report | 4/8/2003 |
| | Principal Office | 200 ST CHRISTOPHER DR
ASHLAND, KY 41101 |
| | Registered Agent | JESUS P. QUERUBIN, JR., M.D.
879 CRESTVIEW RD
RUSSELL, KY 41169 |
| | Authorized Shares | 1000 |
