The holder whose full name is Jarvis, Ellen Rudolph,come from Tell City IN,hold the CSR-Dentist license(NO.12010901B) which status is Active.
| Name | Jarvis, Ellen Rudolph |
|---|---|
| License Number | 12010901B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Tell City |
| State | IN |