Gender: M

Race: C

Birth Date: 08/19/1914

Death Date: 12/06/1964

Place of Birth: Chicago, IL

Year Medical License Issued: 1947

Medical School: Kansas City College of Osteopathy & Surgery

Medical School Location: MO

Degree: DO

Graduation Date: 1947

References:

Certified by TX Board?: Y

Location: Groveton

Specialty:

Secondary Specialty:

Notes: