Gender: M

Race: C

Birth Date: 02/20/1928

Death Date: 12/07/1958

Place of Birth: Kansas City, MO

Year Medical License Issued: 1956

Medical School: Kansas City College of Osteopathy & Surgery

Medical School Location: KS

Degree: DO

Graduation Date: 1955

References:

Certified by TX Board?: Y

Location: Channelview

Specialty:

Secondary Specialty:

Notes: