Gender: M

Race: C

Birth Date: 09/16/1878

Death Date: 01/16/1969

Place of Birth: Smyrna, DE

Year Medical License Issued: 1940

Medical School: Univ. of Illinois, Chicago

Medical School Location: IL

Degree: MD

Graduation Date: 1906

References:

File and photograph are water-damaged.

Certified by TX Board?: Y

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