California Veterinary Medical Board
Licensing details for: 17940
Name: GEIST, MICHAEL R
License Type: Veterinarian
Primary Status: Current
Address of Record
Green Dog Dental & Wellness
210 Main St
VENICE CA 90291
LOS ANGELES county
Map
License Relationships
Supervisor (Vet) to Temp
License/Registration Role: Veterinarian
Related Party Role: Temporary Veterinary License
Name: PANCOTTO, THERESA ELIZABETH
License/Registration Type: Temporary Veterinary License
License Number: 1215 Primary Status: Cancelled
Address :
28048 Captiva Shell Loop
BONITA SPRINGS FL 34135-8624
LEE COUNTY
Supervisor (Vet) to Temp
License/Registration Role: Veterinarian
Related Party Role: Temporary Veterinary License
Name: Miles, Sarita Andrea
License/Registration Type: Temporary Veterinary License
License Number: 1208 Primary Status: Cancelled
Address :
1016 Garden Square Ln
MORRISVILLE NC 27560-5313
WAKE COUNTY
Supervisor (Vet) to Temp
License/Registration Role: Veterinarian
Related Party Role: Temporary Veterinary License
Name: HSIEH, YU-HUNG
License/Registration Type: Temporary Veterinary License
License Number: 1270 Primary Status: Cancelled
Address :
1900 S Sepulveda Blvd
LOS ANGELES CA 90025-5620
LOS ANGELES COUNTY
Supervisor (Vet) to Temp
License/Registration Role: Veterinarian
Related Party Role: Temporary Veterinary License
Name: Harvey, Bridget Kumiko
License/Registration Type: Temporary Veterinary License
License Number: 1355 Primary Status: Cancelled
Address :
1900 S Sepulveda Blvd
LOS ANGELES CA 90025-5620
LOS ANGELES COUNTY
Supervisor (Vet) to Temp
License/Registration Role: Veterinarian
Related Party Role: Temporary Veterinary License
Name: WEBB, REBECCA JOAN
License/Registration Type: Temporary Veterinary License
License Number: 1336 Primary Status: Cancelled
Address :
4839 Market St
VENTURA CA 93003-8053
VENTURA COUNTY
Supervisor (Vet) to Temp
License/Registration Role: Veterinarian
Related Party Role: Temporary Veterinary License
Name: Smith, Margaret Ann
License/Registration Type: Temporary Veterinary License
License Number: 1305 Primary Status: Cancelled
Address :
129 Dartmouth Trl
Unit 7
FORT COLLINS CO 80525-1449
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: VanBrunt, SeAnna May
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 3103 Primary Status: Cancelled
Address :
643 N Vulcan Ave Apt 110
ENCINITAS CA 92024-2195
SAN DIEGO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Cordova, Shiloh
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 7761 Primary Status: Expired
Address :
1900 S Sepulveda Blvd
LOS ANGELES CA 90025-5620
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Santiago, Jaime R
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 511 Primary Status: Voluntary Surrendered
Address :
26232 Heritage Union Ln
MURRIETA CA 92563-4082
RIVERSIDE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: GRIDLEY, HEATHER REBEKAH
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 6195 Primary Status: Cancelled
Address :
2424 S 41ST ST APT B248
TACOMA WA 98409-7394
PIERCE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Correa, Florentino
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 5916 Primary Status: Expired
Address :
1900 S Sepulveda Blvd
LOS ANGELES CA 90025-5620
LOS ANGELES COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: gillett, melissa
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 4480 Primary Status: Cancelled
Address :
1738 W 51st Pl
LOS ANGELES CA 90062-2340
