Gender: M

Race: C

Birth Date: 03/17/1909

Death Date: 06/03/1965

Place of Birth: Chicago, IL

Year Medical License Issued: 1946

Medical School: Univ. Illinois College of Medicine, Chicago

Medical School Location: IL

Degree: MD

Graduation Date: 1939

References:

Certified by TX Board?: Y

Location: Bolyn

Specialty:

Secondary Specialty:

Notes: