Gender: M

Race: C

Birth Date: 11/22/1920

Death Date: 08/21/1969

Place of Birth: Abindon, VA

Year Medical License Issued: 1954

Medical School: Medical College of Virginia

Medical School Location: VA

Degree: MD

Graduation Date: 1946

References:

Certified by TX Board?: Y

Location: Kingville

Specialty:

Secondary Specialty:

Notes: