Gender: M

Race: C

Birth Date: 10/30/1928

Death Date: 02/16/1970

Place of Birth: Ottumwa, IA

Year Medical License Issued: 1958

Medical School: Kirksville College of Osteopathy & Surgery

Medical School Location: MO

Degree: DO

Graduation Date: 1957

References:

Certified by TX Board?: Y

Location: Tyler

Specialty:

Secondary Specialty:

Notes: