Gender: M

Race: C

Birth Date: 07/02/1921

Death Date: 10/09/1973

Place of Birth: Moberly, MO

Year Medical License Issued: 1954

Medical School: Kirksville College of Osteopathy

Medical School Location: MO

Degree: DO

Graduation Date: 1953

References:

Certified by TX Board?: Y

Location: Houston

Specialty:

Secondary Specialty:

Notes: