California Veterinary Medical Board
Licensing details for: 15409
Name: BAUSMAN, JERROLD
License Type: Veterinarian
Primary Status: Current
Previous Names: BAUSMAN, JERROLD A
Address of Record
36955 Cook St
Suite 14A
PALM DESERT CA 92211-6084
RIVERSIDE county
Map
License Relationships
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: Veterinary Urgent Care of the Desert
License/Registration Type: Veterinary Premises
License Number: 39473 Primary Status: Current
Address :
36955 Cook St
Suite 14A
PALM DESERT CA 92211-6084
RIVERSIDE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: De Leon, Christina
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 14421 Primary Status: Expired
Address :
36955 Cook St
PALM DESERT CA 92211-6084
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Lisa, Carrie Renee
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 14545 Primary Status: Current
Address :
64267 Doral Dr
DESERT HOT SPRINGS CA 92240-1143
RIVERSIDE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Vivian, Joseph
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 12093 Primary Status: Current
Address :
28380 Landau Blvd Apt 2
CATHEDRAL CITY CA 92234-8677
RIVERSIDE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Blawski, Sara McKenna
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 14434 Primary Status: Current
Address :
36955 Cook St.
Suite 14A
PALM DESERT CA 92211
RIVERSIDE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Peters, Kristen Elaine
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 8245 Primary Status: Current
Address :
49235 Via Bolero
LA QUINTA CA 92253-2440
RIVERSIDE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Rivera, Jaira Jolie
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 14677 Primary Status: Current
Address :
83671 San Mateo Ave
COACHELLA CA 92236-6843
RIVERSIDE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Ortega, Luz carina
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 9605 Primary Status: Current
Address :
46400 Dune Palms Rd Spc 28
LA QUINTA CA 92253-4034
RIVERSIDE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Ryan, Emily Rose
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 12896 Primary Status: Current
Address :
36955 Cook St Ste 14A
PALM DESERT CA 92211-6084
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Sanchez, Amy Jenna
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 5775 Primary Status: Current
Address :
45721 Capistrano St
INDIO CA 92201-3862
RIVERSIDE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Valenzuela, Vita Maria
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 11824 Primary Status: Current
Address :
81600 Fred Waring Dr Spc 102
INDIO CA 92201-2035
RIVERSIDE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Chavez-Mendoza, Sergio
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 7983 Primary Status: Current
Address :
81445 Sirocco Ave
INDIO CA 92201-2856
RIVERSIDE COUNTY



