Gender: M

Race: C

Birth Date: 11/09/1913

Death Date: 11/11/1969

Place of Birth: Utica, OH

Year Medical License Issued: 1942

Medical School: Kirksville Osteopathic & Surgical College

Medical School Location: MO

Degree: DO

Graduation Date: 1942

References:

Certified by TX Board?: Y

Location: Mabank

Specialty:

Secondary Specialty:

Notes: