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Gender: M

Race:

Birth Date: 03/01/1930

Death Date: 01/18/1970

Place of Birth: Johnson City, TN

Year Medical License Issued: 1956

Medical School: Univ. TX Medical Branch, Galveston

Medical School Location: TX

Degree: MD

Graduation Date: 1956

References: Port: HAM-TMC Library - N-2171 (b&w) 1956.

File water-damaged.

Certified by TX Board?: Y

Location: Kingsville

Specialty:

Secondary Specialty:

Notes: