Gender: M

Race: C

Birth Date: 09/16/1927

Death Date: 07/23/1964

Place of Birth: Lawrence, KS

Year Medical License Issued: 1960

Medical School: Kansas City College of Osteopathy & Surgery

Medical School Location: MO

Degree: DO

Graduation Date: 1960

References:

Certified by TX Board?: Y

Location:

Specialty:

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