Gender: M

Race: C

Birth Date: 04/26/1929

Death Date: 07/27/1959

Place of Birth: Glendale, CA

Year Medical License Issued: 1958

Medical School: College of Medical Evangelists, Loma Linda

Medical School Location: CA

Degree: MD

Graduation Date: 1955

References:

Certified by TX Board?: Y

Location: Menard

Specialty:

Secondary Specialty:

Notes: