The holder whose full name is PORTOCARRERO, MARIO JOSE,come from HOUSTON TX,hold the Physician license(NO.01043128A) which status is Active.
| Name | PORTOCARRERO, MARIO JOSE |
|---|---|
| License Number | 01043128A |
| License Type | Physician |
| License Status | Active |
| City | HOUSTON |
| State | TX |