The holder whose full name is LEIVA, JORGE IGNACIO,come from AUSTIN TX,hold the Physician license(NO.01048218A) which status is Expired Non-Renewable.
| Name | LEIVA, JORGE IGNACIO |
|---|---|
| License Number | 01048218A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | AUSTIN |
| State | TX |