License holder summary

Jeffrey P. Valliere is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Jeffrey P. Valliere is Fort Wayne IN 46814-9741. This licensed professional license is not current. The license was granted 06/11/2010 and expired on 12/11/2010.

Indiana

Professional Licensing Agency

Jeffrey P. Valliere
Radiology Provisional Permit
License number
XP502614
Date granted
06/11/2010
Date expires
12/11/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46814-9741
indianalicensing.org
ID 8490942
LAST UPDATED 2024-03-03 19:08:59 UTC

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