DCI | Missouri Division of Professional Registration

General Inquiries

Veterinary Medical Board
3605 Missouri Boulevard
P.O. Box 633
Jefferson City, MO 65102-0633
573.751.0031 Telephone
573.526.3856 Fax
800.735.2966 TTY
800.735.2466 Voice Relay
vets@pr.mo.gov
https://pr.mo.gov/veterinarian.asp

Change of Address

Section 340.258, RSMo requires licensees to provide both a business and residence address.

Please provide the Missouri Veterinary Medical Board with any change in your business and/or home address. Please use the form below to report address changes and/or remove address(es) from your record and click submit.

Only the licensee should change information on this site. By entering information on this site, you are representing that you are the person whose information is being changed. Also, Veterinary Technicians must submit a Verificatin of Employemnt form if submitting a new business address.

Name as it appears on your license

Last Name: *

First Name: *

Middle Initial:

License Number: *

Email: *

Effective Date: *

Changes dated in the future won't be changed until the date noted.

Please indicate whether you want information sent to your home or business address.*

HomeBusiness

New Business Address _{(All boxes must be completed below)}

Business Name: *

Street (line 1):

Street (line 2):

City:

State:

Zip Code:

Telephone Number:

New Home Address _{(All boxes must be completed below)}

Street (line 1):

Street (line 2):

City:

State:

Zip Code:

Telephone Number:

Old Business Address _{(All boxes must be completed below)}

Business Name: *

Street (line 1):

Street (line 2):

City:

State:

Zip Code:

Telephone Number:

Old Home Address _{(All boxes must be completed below)}

Street (line 1):

Street (line 2):

City:

State:

Zip Code:

Update

If you would like an updated copy of your license with your new address on it please check the box

Quick Navigation

GENERAL INFORMATION ON COVID-19

General Inquiries

Veterinary Medical Board

Change of Address