Indiana
Professional Licensing Agency
Roger Paul Valliere
Controlled Substance Registration - Dentist
License number
12010249B
Date granted
06/20/2000
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1330 East State Blvd., Fort Wayne IN 46805-4422
indianalicensing.org
ID 5095794
LAST UPDATED 2024-02-24 14:56:16 UTC
LAST UPDATED 2024-02-24 14:56:16 UTC
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