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Licensing details for: 7034

Name: MANCILLAS, DIANA

License Type: Vet Assist Controlled Substance Permit

Primary Status: Expired

Address of Record

46920 Jefferson St
INDIO CA 92201-7920
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Issuance Date

June 23, 2020

Expiration Date

June 30, 2026

Current Date / Time

October 25, 2026
6:02:37 PM

Public Record Actions

License Relationships

Supervisor (Vet) to VACS Permit

License/Registration Role: Veterinary Assistant Controlled Substance Permit

Related Party Role: Veterinarian

Name: TROUSDALE, JEREMY

License/Registration Type: Veterinarian

License Number: 18367 Primary Status: Expired

Address :
46920 Jefferson St
VCA Valley An Med Ctr
INDIO CA 92201-7920
RIVERSIDE COUNTY

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Supervisor (Vet) to VACS Permit

License/Registration Role: Veterinary Assistant Controlled Substance Permit

Related Party Role: Veterinarian

Name: Mihansky, Keith Richard

License/Registration Type: Veterinarian

License Number: 27577 Primary Status: Current

Address :
73495 Highway 111
PALM DESERT CA 92260-3941
RIVERSIDE COUNTY

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