BLAKE ALLEN MARCUM DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****62

License Status

NOT RENEWED

Business

Title

DVM

First Name

BLAKE

Middle

ALLEN

Last Name

MARCUM

Business Name

BLAKE ALLEN MARCUM DVM

Original Issue Date

01/23/2015

Effective Date

01/14/2021

Expiration Date

01/31/2023

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023