License holder summary

Brenda Merkel Valliere is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Brenda Merkel Valliere is 1330 E STATE BOULEVARD, FORT WAYNE IN 46805. This licensed professional license is current. The license was granted 09/04/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Brenda Merkel Valliere
Controlled Substance Registration - Dentist
License number
12008807B
Date granted
09/04/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1330 E STATE BOULEVARD, FORT WAYNE IN 46805
indianalicensing.org
ID 5094227
LAST UPDATED 2024-04-19 13:33:17 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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