California Veterinary Medical Board
Licensing details for: 13468
Name: TAKESUE, LISA Y
License Type: Veterinarian
Primary Status: Current
Previous Names: TAKESUE, LISA Y DVM
Address of Record
MAIN STREET VETERINARY CLINIC
2530 S Main St
LAKEPORT CA 95453-5647
LAKE county
Map
License Relationships
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: MAIN STREET VETERINARY CLINIC
License/Registration Type: Veterinary Premises
License Number: 4610 Primary Status: Current
Address :
2530 S Main St
LAKEPORT CA 95453-5647
LAKE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: BORG, JESSIE LYN
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 1684 Primary Status: Expired
Address :
450 N Brush St
LAKEPORT CA 95453-4628
LAKE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Weatherwax, Brianne Nicole
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 1899 Primary Status: Current
Address :
20818 Santa Rosa Ave
MIDDLETOWN CA 95461-9710
LAKE COUNTY
