Gender: M

Race: C

Birth Date: 10/24/1922

Death Date: 12/15/1967

Place of Birth: McCalister, OK

Year Medical License Issued: 1951

Medical School: Kirksville College of Osteopathy & Surgery

Medical School Location: MO

Degree: DO

Graduation Date: 1951

References:

Certified by TX Board?: Y

Location: Granbury

Specialty:

Secondary Specialty:

Notes: