California Veterinary Medical Board
Licensing details for: 11178
Name: CARLSON, KATHRYN JEAN
License Type: Veterinarian
Primary Status: Current
Previous Names: CARLSON, KATHRYN JEAN DVM
Address of Record
VILLAGE PARK ANIMAL HOSPITAL
51230 Eisenhower Drive
LA QUINTA CA 92253
RIVERSIDE county
Map
License Relationships
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: VILLAGE PARK ANIMAL HOSPITAL
License/Registration Type: Veterinary Premises
License Number: 5531 Primary Status: Cancelled
Address :
PO BOX 1711
LA QUINTA CA 92247-1711
RIVERSIDE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Ortega, Luz carina
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 9605 Primary Status: Current
Address :
46400 Dune Palms Rd Spc 28
LA QUINTA CA 92253-4034
RIVERSIDE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Cedeno, Adolfo
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 5911 Primary Status: Expired
Address :
72895 Fred Waring Dr
PALM DESERT CA 92260-9367
RIVERSIDE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Fay, Vanessa
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 2211 Primary Status: Expired
Address :
52155 Eisenhower Dr
LA QUINTA CA 92253-3263
RIVERSIDE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Petitto, Chrystina Elizabeth
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 10313 Primary Status: Expired
Address :
74948 Jasmine Way
INDIAN WELLS CA 92210-7231
RIVERSIDE COUNTY
