Gender: M

Race: C

Birth Date: 06/15/1908

Death Date: 03/19/1966

Place of Birth: Brewster, MN

Year Medical License Issued: 1940

Medical School: Kirksville College of Osteopathy & Surgery

Medical School Location: MO

Degree: DO

Graduation Date: 1939

References:

Certified by TX Board?: Y

Location: Amarillo

Specialty:

Secondary Specialty:

Notes: