Gender: M

Race: C

Birth Date: 06/26/1911

Death Date: 01/06/1971

Place of Birth: Milwaukee, WI

Year Medical License Issued: 1962

Medical School: Marquette University, Milwaukee

Medical School Location: WI

Degree: MD

Graduation Date: 1942

References:

File and photograph are water-damaged.

Certified by TX Board?: Y

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