The holder whose full name is Rosiecki, Richard T.,come from Lake Station IN,hold the CSR-Dentist license(NO.12008933B) which status is Active.
| Name | Rosiecki, Richard T. |
|---|---|
| License Number | 12008933B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Lake Station |
| State | IN |