Veterinary Medical Board
Licensing details for: 11739
Name: WALLS, CHARLES MCCABE
License Type: Veterinarian
Primary Status: Current
Previous Names: WALLS, CHARLES MCCABE DVM
Address of Record
20 Petar Ct
CLAYTON CA 94517-1713
CONTRA COSTA county
Map
License Relationships
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Uriarte, Breana Marie
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 663 Primary Status: Current
Address :
98 E 13th St
ANTIOCH CA 94509-1847
CONTRA COSTA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: DeMarco, Cristian
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 2418 Primary Status: Cancelled
Address :
1315 San Carlos Ave
CONCORD CA 94518-1103
CONTRA COSTA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: TAMAGAWA, IKUYO
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 645 Primary Status: Expired
Address :
19243 Robinson Rd
SONOMA CA 95476-5915
SONOMA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: COOPER, NICOLE ANN
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 3292 Primary Status: Cancelled
Address :
5323 Pine Hollow Rd
CONCORD CA 94521-4602
CONTRA COSTA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Klemmensen, Anya Arkadyevna Drozd
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 1917 Primary Status: Cancelled
Address :
1010 C St
ANTIOCH CA 94509-2308
CONTRA COSTA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Spanjol, Kris Anton
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 665 Primary Status: Expired
Address :
2055 Meridian Park Blvd
CONCORD CA 94520-5722
CONTRA COSTA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: PRICE, LEILANI
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 1102 Primary Status: Current
Address :
837 Celestine Cir
VACAVILLE CA 95687-7813
SOLANO COUNTY



