California Veterinary Medical Board

Licensing details for: 5733

Name: Fairclough, Diane

License Type: Vet Assist Controlled Substance Permit

Primary Status: Expired

Address of Record

1814 Empire Industrial Ct
Unit F
SANTA ROSA CA 95403-1945
SONOMA county
Map

Issuance Date

July 3, 2019

Expiration Date

September 30, 2026

Current Date / Time

October 25, 2026
2:48:41 PM

License/Registration Role: Veterinary Assistant Controlled Substance Permit

Related Party Role: Veterinarian

Name: HENRY, KIM A

License/Registration Type: Veterinarian

License Number: 11616 Primary Status: Current

Address :
PETCARE VETERINARY HOSPITAL
2425 MENDOCINO AVE
SANTA ROSA CA 95403
SONOMA COUNTY