Gender: M

Race: C

Birth Date: 07/04/1913

Death Date: 07/28/1968

Place of Birth: Peoria, IL

Year Medical License Issued: 1959

Medical School: Univ. of IL College of Medicine

Medical School Location: IL

Degree: MD

Graduation Date: 1940

References:

Jr.

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

Notes: