California Veterinary Medical Board
Licensing details for: 16351
Name: ECKHOLM, NICOLE G
License Type: Veterinarian
Primary Status: Current
Address of Record
4460 Redwood Hwy
Suite 11
SAN RAFAEL CA 94903
MARIN county
Map
License Relationships
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: Golden Gate Animal Allergy and Dermatology DBA Golden Gate Veterinary Specialists
License/Registration Type: Veterinary Premises
License Number: 38383 Primary Status: Current
Address :
4460 Redwood Hwy
Suite 11
SAN RAFAEL CA 94903-1951
MARIN COUNTY
Supervisor (Vet) to Temp
License/Registration Role: Veterinarian
Related Party Role: Temporary Veterinary License
Name: MARLOWE, KATELYN WILLS
License/Registration Type: Temporary Veterinary License
License Number: 1264 Primary Status: Cancelled
Address :
2161 Beverly Way
SANTA ROSA CA 95404
SONOMA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Calvi, Sara
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 4606 Primary Status: Expired
Address :
17375 Willow Creek Rd
OCCIDENTAL CA 95465-9239
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Lawrence, Tiffani Lynn
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 8519 Primary Status: Current
Address :
4460 Redwood Hwy Ste 11
SAN RAFAEL CA 94903-1951
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Hoegerman, Faline Nicole
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 3015 Primary Status: Expired
Address :
6470 Redwood Dr
ROHNERT PARK CA 94928-2326
SONOMA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: MUNK, ANNE L
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 2548 Primary Status: Cancelled
Address :
9082 Willow Ave
COTATI CA 94931-9614
SONOMA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Grigoryan, Dulce Maria
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 1012 Primary Status: Expired
Address :
2785 Marlow Ct
SANTA ROSA CA 95403-2469
SONOMA COUNTY
