Gender: M

Race: C

Birth Date: 10/09/1927

Death Date: 08/04/1958

Place of Birth: Louisville, KY

Year Medical License Issued: 1956

Medical School: Kirksville College O&S

Medical School Location: MO

Degree: DO

Graduation Date: 1955

References:

Certified by TX Board?: Y

Location: Dallas

Specialty:

Secondary Specialty:

Notes: