Gender: M

Race: C

Birth Date: 06/02/1918

Death Date: 02/12/1966

Place of Birth: Commerce, Alberta,

Year Medical License Issued: 1961

Medical School: Kansas City College of Osteopathy & Surgery

Medical School Location: MO

Degree: DO

Graduation Date: 1961

References:

Certified by TX Board?: Y

Location: Rising Star

Specialty:

Secondary Specialty:

Notes: