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Licensing details for: 9605

Name: Ortega, Luz carina

License Type: Vet Assist Controlled Substance Permit

Primary Status: Current

Address of Record

46400 Dune Palms Rd Spc 28
LA QUINTA CA 92253-4034
RIVERSIDE county
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Issuance Date

March 25, 2022

Expiration Date

March 31, 2028

Current Date / Time

October 25, 2026
6:00:21 PM

Public Record Actions

License Relationships

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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Supervisor (Vet) to VACS Permit

License/Registration Role: Veterinary Assistant Controlled Substance Permit

Related Party Role: Veterinarian

Name: BAUSMAN, JERROLD

License/Registration Type: Veterinarian

License Number: 15409 Primary Status: Current

Address :
36955 Cook St
Suite 14A
PALM DESERT CA 92211-6084
RIVERSIDE COUNTY

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Supervisor (Vet) to VACS Permit

License/Registration Role: Veterinary Assistant Controlled Substance Permit

Related Party Role: Veterinarian

Name: CARLSON, KATHRYN JEAN

License/Registration Type: Veterinarian

License Number: 11178 Primary Status: Current

Address :
VILLAGE PARK ANIMAL HOSPITAL
51230 Eisenhower Drive
LA QUINTA CA 92253
RIVERSIDE COUNTY

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