The holder whose full name is Riebsomer, Ellen Camille,come from West Lafayette IN,hold the Dentist license(NO.12011346A) which status is Active.
| Name | Riebsomer, Ellen Camille |
|---|---|
| License Number | 12011346A |
| License Type | Dentist |
| License Status | Active |
| City | West Lafayette |
| State | IN |