California Veterinary Medical Board
Licensing details for: 17081
Name: BLACK, REBECCA ANN
License Type: Veterinarian
Primary Status: Current
Address of Record
OLD TOWN VETERINARY HOSPITAL
41891 Kalmia St Ste C
MURRIETA CA 92562-8859
RIVERSIDE county
Map
License Relationships
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: OLD TOWN VETERINARY HOSPITAL, INC.
License/Registration Type: Veterinary Premises
License Number: 7260 Primary Status: Current
Address :
41891 Kalmia St Ste C
MURRIETA CA 92562-8859
RIVERSIDE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Ralls, Robin Gene
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 7106 Primary Status: Expired
Address :
33447 Landerville Blvd
LAKE ELSINORE CA 92530-5712
RIVERSIDE COUNTY



