Gender: M

Race: C

Birth Date: 05/15/1921

Death Date: 03/27/1968

Place of Birth: Macon, MO

Year Medical License Issued: 1958

Medical School: Kirksville College of Osteopathy & Surgery

Medical School Location: MO

Degree: DO

Graduation Date: 1958

References:

Certified by TX Board?: Y

Location:

Specialty:

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