Gender: M

Race: C

Birth Date: 05/25/1875

Death Date: 1932

Place of Birth: Denmark, AZ

Year Medical License Issued: 1916

Medical School: Memphis Hospital Medical College, Memphis

Medical School Location: TN

Degree: MD

Graduation Date: 1902

References: App for reciprocity Certif w/OK

1933 renewal card notes: dead w/o indicating date

Certified by TX Board?: Y

Location: Dalhart

Specialty:

Secondary Specialty:

Notes: