Gender: M

Race: C

Birth Date: 11/07/1902

Death Date: 05/07/1958

Place of Birth: Selma, AL

Year Medical License Issued: 1932

Medical School: Univ. of Virginia, Richmond

Medical School Location: VA

Degree: MD

Graduation Date: 1930

References:

Certified by TX Board?: Y

Location: Texarkana

Specialty:

Secondary Specialty:

Notes: