Gender: M

Race: C

Birth Date: 03/27/1917

Death Date: 01/14/1964

Place of Birth: LaGrange, GA

Year Medical License Issued: 1957

Medical School: Tulane Univ. Medical, New Orleans

Medical School Location: LA

Degree: MD

Graduation Date: 1944

References:

Certified by TX Board?: Y

Location: Port Arthur

Specialty:

Secondary Specialty:

Notes: