Gender: M

Race: C

Birth Date: 01/14/1918

Death Date: 11/05/1962

Place of Birth: Winston-Salem, NC

Year Medical License Issued: 1947

Medical School: Univ. of Virginia School of Medicine

Medical School Location: VA

Degree: MD

Graduation Date: 1944

References: duplicate license issued 1950

formerly Elbert, WV

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

Notes: