Veterinary Medical Board
Licensing details for: 12391
Name: GILLIS, STACEY LEA
License Type: Veterinarian
Primary Status: Current
Previous Names: GILLIS, STACEY LEA DVM
Address of Record
3261 Cherokee Trl
LOOMIS CA 95650-8876
PLACER county
Map
License Relationships
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: Mobile Veterinary Care for Pets, Inc.
License/Registration Type: Veterinary Premises
License Number: 38284 Primary Status: Current
Address :
3261 Cherokee Trl
LOOMIS CA 95650-8876
PLACER COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: MANZANO, DESEREE M
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 3517 Primary Status: Expired
Address :
1690 Lombard Ln
LINCOLN CA 95648-3208
PLACER COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Bomgardner, Emily Deann
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 5774 Primary Status: Expired
Address :
1100 Atlantic Street
ROSEVILLE CA 95678
PLACER COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: AGUILER, EDGAR G
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 2489 Primary Status: Cancelled
Address :
2369 Oak Harbour Dr Apt 243
SACRAMENTO CA 95833-3230
SACRAMENTO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: NUNALY, JAMIE TAMSEN
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 1940 Primary Status: Current
Address :
6001 Stonehand Ave
CITRUS HEIGHTS CA 95621-0949
SACRAMENTO COUNTY
