California Veterinary Medical Board
Licensing details for: 11616
Name: HENRY, KIM A
License Type: Veterinarian
Primary Status: Current
Previous Names: HENRY, KIM A VMD
Address of Record
PETCARE VETERINARY HOSPITAL
2425 MENDOCINO AVE
SANTA ROSA CA 95403
SONOMA county
Map
License Relationships
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: VCA PetCare East Veterinary Hospital
License/Registration Type: Veterinary Premises
License Number: 37490 Primary Status: Current
Address :
12401 West Olympic Blvd
Attn: Business Licensing
LOS ANGELES CA 90064-1022
LOS ANGELES COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Aguirre, Quionauh
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 13248 Primary Status: Current
Address :
1810 Apple Creek Ln
1810
SANTA ROSA CA 95401-7623
SONOMA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Culver, Noel Marie
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 15281 Primary Status: Current
Address :
2425 Mendocino Ave
SANTA ROSA CA 95403-3116
SONOMA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Tran, Davis
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 8184 Primary Status: Current
Address :
2425 Mendocino Ave
SANTA ROSA CA 95403-3116
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Guerra, Charlene Isabella
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 1932 Primary Status: Current
Address :
3511 Plantain Ct
SANTA ROSA CA 95403-8501
SONOMA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Fairclough, Diane
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 5733 Primary Status: Expired
Address :
1814 Empire Industrial Ct
Unit F
SANTA ROSA CA 95403-1945
SONOMA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Fess, Shealynn Michaela-Reed
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 7642 Primary Status: Expired
Address :
2425 Mendocino Ave
SANTA ROSA CA 95403-3116
SONOMA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Avila, Ann
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 3607 Primary Status: Expired
Address :
2425 Mendocino Ave
SANTA ROSA CA 95403-3116
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Anderson, Alyssa
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 3512 Primary Status: Current
Address :
2425 Mendocino Ave
SANTA ROSA CA 95403-3116
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Farlan, Ashley
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 2846 Primary Status: Current
Address :
2425 Mendocino Ave
SANTA ROSA CA 95403-3116
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Castro, Rosalie Olivia
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 2665 Primary Status: Current
Address :
2425 Mendocino Ave
SANTA ROSA CA 95403-3116
SONOMA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Garcia, Alycia Anna
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 13231 Primary Status: Current
Address :
2425 Mendocino Ave
SANTA ROSA CA 95403-3116
SONOMA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: RODRIGUEZ, NOEMI ESMERALDA
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 6684 Primary Status: Current
Address :
2425 Mendocino Ave
SANTA ROSA CA 95403-3116
SONOMA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Schellerup, Amanda
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 2637 Primary Status: Expired
Address :
2425 Mendocino Ave
SANTA ROSA CA 95403-3116
SONOMA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Fleming, Meagan
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 13566 Primary Status: Current
Address :
2425 Mendocino Ave
SANTA ROSA CA 95403-3116
SONOMA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Delgado, Cristian
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 13351 Primary Status: Current
Address :
2425 Mendocino Ave
SANTA ROSA CA 95403
SONOMA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Bowers, Janelle Lindsey
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 11803 Primary Status: Current
Address :
2425 Mendocino Ave
SANTA ROSA CA 95403-3116
SONOMA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Di Franco, Natassia
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 2611 Primary Status: Expired
Address :
2425 Mendocino Ave
SANTA ROSA CA 95403-3116
SONOMA COUNTY



