Gender: M

Race: C

Birth Date: 12/06/1911

Death Date: 09/08/1965

Place of Birth: Mapleton, MN

Year Medical License Issued: 1940

Medical School: Univ. Colorado Medical School

Medical School Location: CO

Degree: MD

Graduation Date: 1938

References:

Certified by TX Board?: Y

Location: Fort Worth

Specialty:

Secondary Specialty:

Notes: