Gender: M

Race: C

Birth Date: 01/25/1877

Death Date:

Place of Birth: St. Jacob, IL

Year Medical License Issued: 1926

Medical School: Gross Medical College, Denver

Medical School Location: CO

Degree: MD

Graduation Date: 1903

References: Last renewal card has various dates: 1933, 1935, 1953, 1954.

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

Notes: