The holder whose full name is Lodeiro, Jorge Gabriel,come from Kingsport TN,hold the Physician license(NO.01069127A) which status is Expired Non-Renewable.
| Name | Lodeiro, Jorge Gabriel |
|---|---|
| License Number | 01069127A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Kingsport |
| State | TN |