| EID | 10003900 |
| Entity Type | Name Reservation |
| Status | Expired Name |
| AK Formed Date | 4/13/2012 |
| Duration/Expiration | 08/10/2012 |
| Home State | Alaska |
| Entity Mailing Address | 751 Old Richardson Hwy #200, Fairbanks, AK 99701 |
| Entity Physical Address | 751 Old Richardson Hwy #200, Fairbanks, AK 99701 |
| Company Name | Fairbanks Sportsmedicine |
| Officials | Cary S. Keller, M.d., P.c. Owner AK Entity #: 39024d Owned: na |