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Gender: M

Race: C

Birth Date: 1912

Death Date: 10/06/1968

Place of Birth: Chili, IN

Year Medical License Issued: 1949

Medical School: Indiana Univ. School of Medicine

Medical School Location: IN

Degree: MD

Graduation Date: 1936

References: Last address in South Carolina.

File water-damaged.

Certified by TX Board?: Y

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