California Veterinary Medical Board
Licensing details for: 21769
Name: HUMPHREY, DOUGLAS C
License Type: Veterinarian
Primary Status: Current
Address of Record
Pacific Pet Hospital
1466 Melrose Ave
CHULA VISTA CA 91911
SAN DIEGO county
Map
License Relationships
New/Old Vet Licenses
License/Registration Role: Veterinarian
Related Party Role: Veterinarian
Name: HUMPHREY, DOUGLAS C
License/Registration Type: Veterinarian
License Number: 14635 Primary Status: Cancelled
Address :
3815 CLARESTONE DRIVE
PEARLNAD TX 77584
BRAZORIA COUNTY
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: PACIFIC PET HOSPITAL, INC.
License/Registration Type: Veterinary Premises
License Number: 2329 Primary Status: Revoked
Address :
1466 Melrose Ave
CHULA VISTA CA 91911-5569
SAN DIEGO COUNTY
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: Pacific Pet Hospital
License/Registration Type: Veterinary Premises
License Number: 38145 Primary Status: Current
Address :
1466 Melrose Ave
CHULA VISTA CA 91911-5569
SAN DIEGO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Upton, Jennifer
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 1108 Primary Status: Current
Address :
1836 Pacific Beach Dr
SAN DIEGO CA 92109-6165
SAN DIEGO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Grant, Kadija Latrese
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 6241 Primary Status: Expired
Address :
1466 Melrose Ave
CHULA VISTA CA 91911-5569
SAN DIEGO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: GRAY, THERESA ANN
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 622 Primary Status: Expired
Address :
1815 Sweetwater Rd Spc 37
SPRING VALLEY CA 91977-3828
SAN DIEGO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Martinez, Kelsy
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 12387 Primary Status: Expired
Address :
3568 Tridle Way
SAN YSIDRO CA 92173-2874
SAN DIEGO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Garcia, Amy
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 1013 Primary Status: Current
Address :
116 Moss St
CHULA VISTA CA 91911-2109
SAN DIEGO COUNTY
