Gender: M

Race: C

Birth Date: 06/25/1919

Death Date: 06/12/1972

Place of Birth: Stillwater, OK

Year Medical License Issued: 1948

Medical School: Univ. Texas Southwestern Medical School, Dallas

Medical School Location: TX

Degree: MD

Graduation Date: 1948

References:

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

Notes: