BLAKE ALLEN MARCUM DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****31

License Status

NOT RENEWED

Business

Title

DVM

First Name

BLAKE

Middle

ALLEN

Last Name

MARCUM

Business Name

BLAKE ALLEN MARCUM DVM

Original Issue Date

07/17/2012

Effective Date

12/31/2014

Expiration Date

01/31/2017

City

CHATHAM

State

Zip

62629

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/27/2017