California Veterinary Medical Board
Licensing details for: 16031
Name: HASSAN, KHOLOOD
License Type: Veterinarian
Primary Status: Current
Address of Record
LAGUNA VETERINARY CARE
1450 Madonna Rd
SAN LUIS OBISPO CA 93405-6433
SAN LUIS OBISPO county
Map
License Relationships
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: Laguna Veterinary Care
License/Registration Type: Veterinary Premises
License Number: 37363 Primary Status: Current
Address :
1450 Madonna Rd
SAN LUIS OBISPO CA 93405-6433
SAN LUIS OBISPO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Devera, Jennifer Hideko Kuruma
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 2921 Primary Status: Cancelled
Address :
1450 Madonna Rd
SAN LUIS OBISPO CA 93405-6433
SAN LUIS OBISPO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Hollender, Jasmine
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 11437 Primary Status: Expired
Address :
85 Stenner St Apt C
SAN LUIS OBISPO CA 93405-1879
SAN LUIS OBISPO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Ambriz Cervantes, Salvador
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 9215 Primary Status: Current
Address :
1450 Madonna Rd
SAN LUIS OBISPO CA 93405-6433
SAN LUIS OBISPO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Rasmussen, Andrea Noel
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 5160 Primary Status: Expired
Address :
1450 Madonna Rd
SAN LUIS OBISPO CA 93405-6433
SAN LUIS OBISPO COUNTY
