Gender: M

Race: C

Birth Date: 09/27/1921

Death Date: 01/10/1963

Place of Birth: Groveton, TX

Year Medical License Issued: 1953

Medical School: Kirksville College of Osteopathy

Medical School Location: MO

Degree: DO

Graduation Date: 1953

References:

Certified by TX Board?: Y

Location: Big Sandy

Specialty:

Secondary Specialty:

Notes: