California Veterinary Medical Board
Licensing details for: 16056
Name: EDSALL, DAVID M
License Type: Veterinarian
Primary Status: Current
Address of Record
LAS TABLAS ANIMAL HOSPITAL
959 Las Tablas Rd Ste A1
TEMPLETON CA 93465-9703
SAN LUIS OBISPO county
Map
License Relationships
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: LAS TABLAS ANIMAL HOSPITAL
License/Registration Type: Veterinary Premises
License Number: 7393 Primary Status: Cancelled
Address :
959 Las Tablas Rd Ste A1
TEMPLETON CA 93465-9703
SAN LUIS OBISPO COUNTY
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: MVP California Vet Hospitals, PC
License/Registration Type: Veterinary Premises
License Number: 39054 Primary Status: Current
Address :
20450 Civic Center Dr
SOUTHFIELD MI 48076-4135
OAKLAND COUNTY
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: CENTRAL COAST VETERIANRY SERVICES
License/Registration Type: Veterinary Premises
License Number: 7357 Primary Status: Cancelled
Address :
180 4TH STREET
CAYUCOS CA 93430
SAN LUIS OBISPO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: LaBossiere, Marcelle Monique
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 1402 Primary Status: Cancelled
Address :
959 Las Tablas Rd Ste A1
TEMPLETON CA 93465-9703
SAN LUIS OBISPO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: MELTON, GABRIELLA NAPOLITANA
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 3920 Primary Status: Expired
Address :
1030 Fava Ct
TEMPLETON CA 93465-3826
SAN LUIS OBISPO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Thompson, Jessica Quinn
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 16298 Primary Status: Current
Address :
959 Las Tablas Rd
Suite A1
TEMPLETON CA 93465-9703



