California Veterinary Medical Board
Licensing details for: 27577
Name: Mihansky, Keith Richard
License Type: Veterinarian
Primary Status: Current
Address of Record
73495 Highway 111
PALM DESERT CA 92260-3941
RIVERSIDE county
Map
License Relationships
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: VEG California, a Veterinary Professional Corporation
License/Registration Type: Veterinary Premises
License Number: 40096 Primary Status: Current
Address :
44 S Broadway # Ll3
WHITE PLAINS NY 10601-4425
WESTCHESTER COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Lutzke, Sarah
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 16788 Primary Status: Current
Address :
74395 Chicory St
PALM DESERT CA 92260-4808
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: De Loera, Mario
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 15277 Primary Status: Current
Address :
29670 Avenida Maravilla
CATHEDRAL CITY CA 92234-8118
RIVERSIDE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Gonzalez, Fermin Max
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 7001 Primary Status: Expired
Address :
17543 Tamarind Ct
BLOOMINGTON CA 92316-2557
SAN BERNARDINO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Matu, Monique Alexis
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 9789 Primary Status: Expired
Address :
17543 Tamarind Ct
BLOOMINGTON CA 92316-2557
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Ortega, Luz carina
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 9605 Primary Status: Current
Address :
46400 Dune Palms Rd Spc 28
LA QUINTA CA 92253-4034
RIVERSIDE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Vazquez Pena, Francisco J
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 7688 Primary Status: Current
Address :
2499 Lenrey Ave
EL CENTRO CA 92243-3662
IMPERIAL COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: GALVEZ, LEONARDO
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 8891 Primary Status: Current
Address :
26199 Tasman St
MORENO VALLEY CA 92555-1827
RIVERSIDE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: MANCILLAS, DIANA
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 7034 Primary Status: Expired
Address :
46920 Jefferson St
INDIO CA 92201-7920
