Veterinary Medical Board
Licensing details for: 15188
Name: WOODEN, BRENT G
License Type: Veterinarian
Primary Status: Current
Address of Record
OLD TOWNE ANIMAL HOSPITAL
10530 Fair Oaks Blvd
FAIR OAKS CA 95628-7209
SACRAMENTO county
Map
License Relationships
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: San Juan Veterinary Hospital
License/Registration Type: Veterinary Premises
License Number: 37954 Primary Status: Current
Address :
5997 San Juan Ave
CITRUS HEIGHTS CA 95610-6508
SACRAMENTO COUNTY
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: OLD TOWNE ANIMAL HOSPITAL
License/Registration Type: Veterinary Premises
License Number: 2420 Primary Status: Current
Address :
10530 Fair Oaks Blvd
FAIR OAKS CA 95628-7209
SACRAMENTO COUNTY
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: Black Oak Veterinary Group, Inc.
License/Registration Type: Veterinary Premises
License Number: 39776 Primary Status: Current
Address :
3251 Marshall Rd
GEORGETOWN CA 95634-9628
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: BGW Pet Vet, Inc.
License/Registration Type: Veterinary Premises
License Number: 39004 Primary Status: Current
Address :
5997 San Juan Ave
CITRUS HEIGHTS CA 95610-6508
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Berg, Michaela Kristine
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 8004 Primary Status: Expired
Address :
310 Scenic Knoll Ct
COLFAX CA 95713-9035
PLACER COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Perez, Melissa Christine
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 7178 Primary Status: Expired
Address :
8725 La Riviera Dr Apt 30
SACRAMENTO CA 95826-1846
SACRAMENTO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Billey, Nioaka
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 6903 Primary Status: Expired
Address :
10530 Fair Oaks Blvd
FAIR OAKS CA 95628-7209
SACRAMENTO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: BRINDLEY-VALENTIN, OLYVIA JORDAN
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 11349 Primary Status: Expired
Address :
3247 Casitas Bonito
SACRAMENTO CA 95825-2039
SACRAMENTO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Mason, Holly Christina
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 15476 Primary Status: Current
Address :
5640 Spanish Flat Rd
GARDEN VALLEY CA 95633-9467
EL DORADO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Garfield, Emily D
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 8681 Primary Status: Expired
Address :
6607 Moraga Dr
CARMICHAEL CA 95608-1151
SACRAMENTO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Engelking, Jennifer L
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 8729 Primary Status: Expired
Address :
1584 Rue Francais
CHICO CA 95973-9176
BUTTE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Fagundes, Shelly Lorraine
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 16001 Primary Status: Current
Address :
6600 Log Cabin Ln
PLACERVILLE CA 95667-8356
EL DORADO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Goppert, Jennifer C
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 15437 Primary Status: Current
Address :
3251 Marshall Rd
GEORGETOWN CA 95634-9628
EL DORADO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Sayfan, Ophir
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 14002 Primary Status: Current
Address :
4537 Blackrock Dr
SACRAMENTO CA 95834-2693
SACRAMENTO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Reardon, Rachel Ann
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 1330 Primary Status: Current
Address :
1138 Los Robles Blvd
SACRAMENTO CA 95838-4468
SACRAMENTO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Hall, Rozlynn Idell
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 14883 Primary Status: Current
Address :
6321 Johntown Creek Rd
GARDEN VALLEY CA 95633-9738
EL DORADO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Henderson, Candice Rae
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 1121 Primary Status: Expired
Address :
1714 14th St
SACRAMENTO CA 95811-6611
SACRAMENTO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Harcharik, Jessica Nicole
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 14051 Primary Status: Current
Address :
10530 Fair Oaks Blvd
FAIR OAKS CA 95628-7209
SACRAMENTO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: McLaren, David Russell
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 2747 Primary Status: Current
Address :
5933 Birdcage St
Apt# 193
CITRUS HEIGHTS CA 95610-6846
SACRAMENTO COUNTY
