Gender: M

Race: C

Birth Date: 05/07/1915

Death Date: 09/11/1961

Place of Birth: Dickenson, ND

Year Medical License Issued: 1949

Medical School: Univ. of Tennessee

Medical School Location: TN

Degree: MD

Graduation Date: 1941

References:

Certified by TX Board?: Y

Location:

Specialty:

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