Gender: M

Race: C

Birth Date: 10/15/1922

Death Date: 12/09/1968

Place of Birth: Neenah, WI

Year Medical License Issued: 1952

Medical School: Chicago College of Osteopathy

Medical School Location: IL

Degree: DO

Graduation Date: 1951

References:

Certified by TX Board?: Y

Location: Lubbock

Specialty:

Secondary Specialty:

Notes: