Gender: M

Race: C

Birth Date: 07/25/1878

Death Date: 08/09/1937

Place of Birth: Edwardsville, AL

Year Medical License Issued: 1921

Medical School: Grant Univ. Medical Dept. Chattanooga

Medical School Location: TN

Degree: MD

Graduation Date: 1900

References:

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

Notes: