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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
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Issuance Date

February 14, 2008

Expiration Date

December 31, 2027

Current Date / Time

October 25, 2026
10:53:19 AM

Public Record Actions

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

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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

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