California Veterinary Medical Board
Licensing details for: 23317
Name: LAVAN, ETHAN WILLIAM
License Type: Veterinarian
Primary Status: Current
Address of Record
19528 Ventura Blvd
#790
TARZANA CA 91356-2917
LOS ANGELES county
Map
License Relationships
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Dutton, Mark
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 11444 Primary Status: Current
Address :
5308 Vineland Ave
NORTH HOLLYWOOD CA 91601-3224
LOS ANGELES COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: MOSQUEDA, ERNESTO
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 4043 Primary Status: Current
Address :
5308 Vineland Ave
NORTH HOLLYWOOD CA 91601-3224
LOS ANGELES COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: De La Cruz, Jacqueline
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 11751 Primary Status: Current
Address :
5308 Vineland Ave
NORTH HOLLYWOOD CA 91601-3224
LOS ANGELES COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: DIEGUEZ PEREZ, MARVIN YOBANI
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 4044 Primary Status: Current
Address :
5308 Vineland Ave
NORTH HOLLYWOOD CA 91601-3224
LOS ANGELES COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Kinder, Laurel Anne
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 14437 Primary Status: Expired
Address :
5308 Vineland Ave
NORTH HOLLYWOOD CA 91601-3224
LOS ANGELES COUNTY



