Gender: M

Race: C

Birth Date: 02/01/1921

Death Date: 01/24/1965

Place of Birth: Chanute, KS

Year Medical License Issued: 1948

Medical School: Univ. of Kansas School of Medicine

Medical School Location: KS

Degree: MD

Graduation Date: 1945

References:

File water-damaged.

Certified by TX Board?: Y

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