Gender: M

Race: C

Birth Date: 03/03/1930

Death Date: 04/10/1963

Place of Birth: Lewiston, ME

Year Medical License Issued: 1961

Medical School: Univ. Texas Southwestern Medical School, Dallas

Medical School Location: TX

Degree: MD

Graduation Date: 1961

References: Obit: TSJM 59:544, June, 1963. Port.

Certified by TX Board?: Y

Location: Irving

Specialty:

Secondary Specialty:

Notes: