BLAKE ALLEN MARCUM DVM Veterinarian License verification

Business Entity

ACTIVE

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****21

License Status

ACTIVE

Business

Title

DVM

First Name

BLAKE

Middle

ALLEN

Last Name

MARCUM

Business Name

BLAKE ALLEN MARCUM DVM

Original Issue Date

07/02/2022

Effective Date

12/10/2024

Expiration Date

01/31/2027

City

BANNOCKBURN

State

Zip

60015

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/10/2024