California Veterinary Medical Board
Licensing details for: 14045
Name: POWELL, NEIL D
License Type: Veterinarian
Primary Status: Current
Previous Names: POWELL, NEIL D DVM
Address of Record
1154 Emerald Bay Rd
SOUTH LAKE TAHOE CA 96150-6288
EL DORADO county
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License Relationships
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: Blue Lake Animal Care Center
License/Registration Type: Veterinary Premises
License Number: 37124 Primary Status: Current
Address :
1154 Emerald Bay Rd
SOUTH LAKE TAHOE CA 96150-6288
EL DORADO COUNTY
Supervisor (Vet) to Temp
License/Registration Role: Veterinarian
Related Party Role: Temporary Veterinary License
Name: BAILEY, ELLEN ELIZABETH
License/Registration Type: Temporary Veterinary License
License Number: 1388 Primary Status: Cancelled
Address :
1154 Emerald Bay Rd
SOUTH LAKE TAHOE CA 96150-6288
EL DORADO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Gillespie, Sierra
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 10906 Primary Status: Expired
Address :
3077 Fresno Ave Apt A
SOUTH LAKE TAHOE CA 96150-2645
