California Veterinary Medical Board
Licensing details for: 9594
Name: KENNEDY, WILLIAM STODDERT
License Type: Veterinarian
Primary Status: Current
Previous Names: KENNEDY, WILLIAM STODDERT DVM
Address of Record
2012 Smith Flat Rd
PLACERVILLE CA 95667-5035
EL DORADO county
Map
License Relationships
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: SMITH FLAT ANIMAL HOSPITAL
License/Registration Type: Veterinary Premises
License Number: 3366 Primary Status: Current
Address :
2012 Smith Flat Rd
PLACERVILLE CA 95667-5035
EL DORADO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Johnson, Lauren Darlene
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 17002 Primary Status: Current
Address :
2797 Stone Ln
PLACERVILLE CA 95667-4201
EL DORADO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Bennett, Valerie Ann
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 1136 Primary Status: Current
Address :
3041 Caldwell Dr
CAMINO CA 95709-9520
EL DORADO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: TARAILO, ALEXIS GINA
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 6415 Primary Status: Current
Address :
2413 Empress Ln
PLACERVILLE CA 95667-3132
EL DORADO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Simon, Tara Marie Mrs.
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 2282 Primary Status: Current
Address :
7536 Slug Gulch Rd
SOMERSET CA 95684-9244
EL DORADO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Cortez, Victoria Louise
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 17038 Primary Status: Current
Address :
5811 Havenstar Ln
EL DORADO CA 95623-4319
