California Veterinary Medical Board

Licensing details for: 2879

Name: SHASTA LAKE VETERINARY CLINIC

License Type: Veterinary Premises

Primary Status: Current

Address of Record

4522 Shasta Dam Blvd
SHASTA LAKE CA 96019-9412
SHASTA county
Map

Issuance Date

May 17, 1979

Expiration Date

May 31, 2027

Current Date / Time

October 25, 2026
9:16:13 AM

License/Registration Role: Veterinary Premises

Related Party Role: Veterinarian

Name: ROACH, R T

License/Registration Type: Veterinarian

License Number: 7031 Primary Status: Current

Address :
SHASTA LAKE VETERINARY CLINIC
4522 Shasta Dam Blvd
SHASTA LAKE CA 96019-9412
SHASTA COUNTY