California Veterinary Medical Board
Licensing details for: 11406
Name: TAKATA, IRENE M
License Type: Veterinarian
Primary Status: Current
Previous Names: TAKATA, IRENE M DVM
Address of Record
8610 Harris Rd
BAKERSFIELD CA 93311-8983
KERN county
Map
License Relationships
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: BAKERSFIELD VETERINARY HOSPITAL, INC
License/Registration Type: Veterinary Premises
License Number: 6456 Primary Status: Cancelled
Address :
8610 Harris Rd
BAKERSFIELD CA 93311-8983
KERN COUNTY
Supervisor (Vet) to Temp
License/Registration Role: Veterinarian
Related Party Role: Temporary Veterinary License
Name: Gouldburn, Brett Michael
License/Registration Type: Temporary Veterinary License
License Number: 1437 Primary Status: Cancelled
Address :
15613 Odyssey Dr
Unit 24
GRANADA HILLS CA 91344-3268
LOS ANGELES COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Wagner, Marissa Lynn
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 10331 Primary Status: Current
Address :
9887 Camino Media
BAKERSFIELD CA 93311-1303
KERN COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: De Luna, Elizabeth
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 3440 Primary Status: Current
Address :
2702 Trentino Ave
BAKERSFIELD CA 93313-5749
KERN COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Cruz, Giovanni
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 3762 Primary Status: Expired
Address :
5201 Tierra Abierta Dr
BAKERSFIELD CA 93307-8345
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: DUARTE, BERNARDO CHRISTOPHER
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 10205 Primary Status: Current
Address :
1528 Kentucky St Apt B
BAKERSFIELD CA 93305-4865
KERN COUNTY
