California Veterinary Medical Board
Licensing details for: 8914
Name: CANNON, SUSAN ANNE
License Type: Veterinarian
Primary Status: Current
Previous Names: CANNON, SUSAN ANNE DVM
Address of Record
3083 HWY 175
LAKEPORT CA 95453
LAKE county
Map
License Relationships
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: WASSON MEMORIAL VETERINARY CLINIC
License/Registration Type: Veterinary Premises
License Number: 2940 Primary Status: Current
Address :
3083 HIGHWAY 175
LAKEPORT CA 95453-9720
LAKE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Thomas, Brittany Lorraine
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 11899 Primary Status: Current
Address :
375 E State Highway 20
Space 17
UPPER LAKE CA 95485-8737
LAKE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Lewis, Joshua Harrison
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 12026 Primary Status: Current
Address :
3083 Highway 175
LAKEPORT CA 95453-9720
LAKE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Hoaglen, Trinitee Noel
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 12398 Primary Status: Current
Address :
3083 Highway 175
LAKEPORT CA 95453-9720
LAKE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Noisat, Daniel Harley
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 2417 Primary Status: Current
Address :
3083 Highway 175
LAKEPORT CA 95453-9720
LAKE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Holt, Polly Ellen
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 1619 Primary Status: Current
Address :
4774 Heidi Way
KELSEYVILLE CA 95451
LAKE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Farr, Jennifer Melissa
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 11862 Primary Status: Current
Address :
3083 Highway 175
LAKEPORT CA 95453-9720
LAKE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: MCDOUGAL, HARLEY ANTON
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 1715 Primary Status: Current
Address :
3083 Highway 175
LAKEPORT CA 95453-9720
LAKE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: JOHNSON, ASHLEY J
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 11920 Primary Status: Current
Address :
3083 Highway 175
LAKEPORT CA 95453-9720
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: RISCH, LISA MARIE
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 2740 Primary Status: Current
Address :
255 Miramonte Ave
LAKEPORT CA 95453-6104
LAKE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Green, Shyann Kathleen
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 12698 Primary Status: Expired
Address :
3083 Highway 175
LAKEPORT CA 95453-9720
LAKE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Johnson, Emma Lee
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 16862 Primary Status: Current
Address :
3083 Highway 175
LAKEPORT CA 95453-9720
LAKE COUNTY
