Veterinary Medical Board
Licensing details for: 14942
Name: ROBERTS, DIANE E
License Type: Veterinarian
Primary Status: Current
Address of Record
SAGE - REDWOOD CITY
934 Charter Street
REDWOOD CITY CA 94063-3110
SAN MATEO county
Map
License Relationships
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: SAGE - Redwood City
License/Registration Type: Veterinary Premises
License Number: 5780 Primary Status: Current
Address :
934 Charter St
REDWOOD CITY CA 94063-3110
SAN MATEO COUNTY
Supervisor (Vet) to Temp
License/Registration Role: Veterinarian
Related Party Role: Temporary Veterinary License
Name: SUCHOWERSKY, NATALIE DIANA
License/Registration Type: Temporary Veterinary License
License Number: 1343 Primary Status: Cancelled
Address :
576 Heritage Ct
AUBURN AL 36830-3864
LEE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: SANTIAGO, STEPHANIE MARIE
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 2060 Primary Status: Expired
Address :
133 Rosa Flora Cir
SOUTH SAN FRANCISCO CA 94080-5752
SAN MATEO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Johnson-OSullivan, Lauren Michelle
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 8166 Primary Status: Current
Address :
2396 27th Ave #5
SAN FRANCISCO CA 94116
SAN FRANCISCO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Barries, Ayla
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 9714 Primary Status: Current
Address :
348 San Andreas Dr
MILPITAS CA 95035-3016
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Gomez, Alexis Marcela
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 9566 Primary Status: Expired
Address :
934 Charter St
REDWOOD CITY CA 94063-3110
SAN MATEO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Hernandez, Alexis Megan
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 9355 Primary Status: Expired
Address :
601 Showers Dr
MOUNTAIN VIEW CA 94040-1433
SANTA CLARA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: SAETEURN, CHAI YOON
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 2145 Primary Status: Current
Address :
201 Alabama St
SF SPCA Hospital
SAN FRANCISCO CA 94103-4217
SAN FRANCISCO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: FRIEDRICH, HEIDI
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 3037 Primary Status: Expired
Address :
934 Charter St
REDWOOD CITY CA 94063-3110
SAN MATEO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Savage, Yessenia Del Carmen
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 1354 Primary Status: Current
Address :
20175 Wisteria St
CASTRO VALLEY CA 94546-4172
ALAMEDA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Johnson, Shea Elizabeth
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 6102 Primary Status: Expired
Address :
934 Charter St
REDWOOD CITY CA 94063-3110
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Macias, Michelle Lee
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 5557 Primary Status: Current
Address :
2128 Moran Ave
MODESTO CA 95354-1709
STANISLAUS COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Galvan, Razel Angel
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 11072 Primary Status: Expired
Address :
290 Malosi St Apt 232B
SAN FRANCISCO CA 94134-2651
SAN FRANCISCO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: SABALA, DAVINA MARIE
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 6045 Primary Status: Expired
Address :
934 Charter St
REDWOOD CITY CA 94063-3110
SAN MATEO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Boismenu, Sherri
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 4394 Primary Status: Cancelled
Address :
934 Charter Street
REDWOOD CITY CA 94063
SAN MATEO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: HAGELE, CAROLINE
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 874 Primary Status: Expired
Address :
SAGE - REDWOOD CITY
934 Charter St
REDWOOD CITY CA 94063-3110
SAN MATEO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Menjivar, Jennyfer Christine
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 825 Primary Status: Expired
Address :
539 Cutwater Ln
FOSTER CITY CA 94404-3923
SAN MATEO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: MEMBRENO, NANCY ELIZABETH
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 2749 Primary Status: Current
Address :
3 Diaz Ave
SAN FRANCISCO CA 94132-2434
SAN FRANCISCO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: CASTILLO, VALENCIA V
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 4732 Primary Status: Cancelled
Address :
3674 Oakwood Ter Apt 303
FREMONT CA 94536-7432
ALAMEDA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Bosco, Julia
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 15263 Primary Status: Current
Address :
2200 Garden Rd
MONTEREY CA 93940-5329
MONTEREY COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: CASTILLO-MARTINEZ, JESSICA ANGELINA
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 2639 Primary Status: Cancelled
Address :
1583 Denkinger Rd
CONCORD CA 94521-1837
CONTRA COSTA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: McKague, Kayla Alisha
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 1852 Primary Status: Current
Address :
1830 El Parque Ct Apt B
SAN MATEO CA 94403-2033
SAN MATEO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: CHA, CALVIN
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 4670 Primary Status: Current
Address :
2850 Azevedo Dr
SACRAMENTO CA 95833-1421
SACRAMENTO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Howard, Kianna
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 5384 Primary Status: Expired
Address :
25617 SE 42nd Way
SAMMAMISH WA 98029-5735
KING COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: MUZATKO, MARILEE
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 1663 Primary Status: Retired
Address :
101 Maple St Apt 3204
REDWOOD CITY CA 94063-1979
SAN MATEO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: GARCIA GONZALEZ, STEPHANIE MICHELLE
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 1385 Primary Status: Cancelled
Address :
SAGE - REDWOOD CITY
934 Charter St
REDWOOD CITY CA 94063-3110
SAN MATEO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Thompson, Michael
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 4638 Primary Status: Current
Address :
955 Aberdeen Dr
SUNNYVALE CA 94087-3004
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: VILLAMORE-LOBO, CHRISTINA NICOLE
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 5949 Primary Status: Expired
Address :
6 Eastridge Cir
PACIFICA CA 94044-1101
SAN MATEO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Bersonda, Alexis Phylicia
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 6218 Primary Status: Expired
Address :
52 Concord St
SAN FRANCISCO CA 94112-3734
SAN FRANCISCO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: CHEN, WEN-SHIN
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 8798 Primary Status: Current
Address :
1 Artisan Way
MENLO PARK CA 94025-4800
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Hutchins, Ryan
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 2618 Primary Status: Expired
Address :
1624 Ward St
HAYWARD CA 94541-3032
ALAMEDA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: REDDING, LAUREN
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 3610 Primary Status: Current
Address :
4901 Briones Valley Rd
BRENTWOOD CA 94513-4920
CONTRA COSTA COUNTY



