Gender: M

Race: C

Birth Date: 09/24/1933

Death Date: 01/20/1973

Place of Birth: Pampa, TX

Year Medical License Issued: 1965

Medical School: Univ. TX Medical Branch, Galveston

Medical School Location: TX

Degree: MD

Graduation Date: 1965

References:

File and photograph are water-damaged.

Certified by TX Board?: Y

Location: Fort Worth

Specialty:

Secondary Specialty:

Notes: