Gender: M

Race: B

Birth Date: 02/06/1927

Death Date: 1969

Place of Birth: Fredricksberg, TX

Year Medical License Issued: 1955

Medical School: University of Texas Medical Branch, Galveston

Medical School Location: TX

Degree: MD

Graduation Date: 1955

References:

File and photograph are water-damaged.

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

Notes: