California Veterinary Medical Board
Licensing details for: 15904
Name: JOHNSON, SUZIE L
License Type: Veterinarian
Primary Status: Current
Address of Record
727 Liberty Rd
PETALUMA CA 94952-1077
SONOMA county
Map
License Relationships
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: VALLEY OF THE MOON VETERINARY HOSPITAL
License/Registration Type: Veterinary Premises
License Number: 7152 Primary Status: Current
Address :
975 Boyes Blvd
SONOMA CA 95476-3758
SONOMA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Searock, Laureen Ann
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 2366 Primary Status: Cancelled
Address :
PO Box 881
GLEN ELLEN CA 95442-0881
SONOMA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: BRYSON, HEATHER MARIE
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 2580 Primary Status: Cancelled
Address :
17601 Middlefield Rd
SONOMA CA 95476-3482
SONOMA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Smith, Jessica Carolyn
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 5655 Primary Status: Cancelled
Address :
5799 Lowell Ct
COTATI CA 94931-9761
SONOMA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: GREEN, FELICIA MONIQUE
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 2368 Primary Status: Expired
Address :
2450 Peach Tree Dr
1
FAIRFIELD CA 94533-2073
SOLANO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Kitahata, Jeanine Lisa
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 2364 Primary Status: Cancelled
Address :
9250 Clyde Ave #123
KENWOOD CA 95452
SONOMA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Rundles, Kelli Y
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 2367 Primary Status: Cancelled
Address :
1800 Sutter St
VALLEJO CA 94590-4429
SOLANO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: LAMOS, BRIGITTE T
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 2370 Primary Status: Current
Address :
1027 Santa Ana Dr
SANTA ROSA CA 95404-6137
SONOMA COUNTY



