Fillable State of Missouri Certificate of State Board Registration (How to Start a Business)

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State of Missouri Certificate of State Board Registration (How to Start a Business)

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Certificate of State Board Registration
Professional License No.
This is to certify that each of the persons named below, as incorporators and/or shareholders of a proposed Professional
Corporation named
Name of Corporation
are duly licensed or registered to practice the profession of
Name of Profession
in the State of Missouri with .
Name of Board
Name of Registration or Date Licensed Address–
Incorporator License Number or Registered City or Town
The above name(s) of Incorporator(s) are hereby approved by this State Board.
Authorized Signature of State Board Printed Name Title Date
State of Missouri
Jason Kander, Secretary of State
Corporations Division
PO Box 778 / 600 W. Main St., Rm. 322
Jefferson City, MO 65102
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Corp. 76 (12/2010)
Name and address to return filed document:
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State of Missouri Certificate of State Board Registration (How to Start a Business)

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Completed 20 November 2020

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