Gender: M

Race: C

Birth Date: 09/08/1924

Death Date: 12/12/1960

Place of Birth: Beaumont, TX

Year Medical License Issued: 1954

Medical School: Univ. TX Medical Branch, Galveston

Medical School Location: TX

Degree: MD

Graduation Date: 1954

References:

Certified by TX Board?: Y

Location: Marshall

Specialty:

Secondary Specialty:

Notes: