Physicians: Physicians Affidavit Book A Submitter: Beth Mathews Jan 2001 Source: West Carroll Parish Courthouse ********************************************** Copyright. All rights reserved. http://usgwarchives.net/copyright.htm http://usgwarchives.net/la/lafiles.htm ********************************************** NOTE: The original spelling was retained. Physicians Affidavit Book A S.S. Herrick, M. D. Secty State Board Health New Orleans, La. Index: Page Abell, G.C. 13 Campbell,E.M. 21 Bliss, A.S. 25 Birdsong, J.S. 29 Baskin, J.C. 31 Butler, E.D. 45 Bumgarner, P.J. 48 Burnham, E.O. 50 Fleming, Dr. Kenneth S. 51 Fowler, Ivy Robert 26 Grigsby, Joseph 14 Green, B.F. 30 Gilliland, O.T. 32 Jarrell, C.M. 54 Maull, Dr. J.H. 2 McCutcheon, Robt. H. 16 McCarmack, Dr. G.F. 31 Noble, Walter 20 Phillips, Dr. W.D. 3 Smith, C.W. 22 Trezevant, James V. 19 Thompson, C.C. 28 Williams, Ford Smith 53 Names included in book, but omitted from index: J.S. Herring 5 William H. Berry 6 William T. Parker 7 Richard P. Poole 8&11 Thomas Nicholson Pulley 9&10 John Shelton Lennox 12 Thomas Theodric Shipp 15 James H. Robinson 17 J.J. Fluke 23 O.B. Lewis 24 C.S. Rine 26 D.R. Evans 27 Thomas Grey Biggs 33 Marion A. Gilliland 33 J.B. Robinson 34 S.J. Franks 34 Henry Farrell 35 McHenry Greer 36 J.W. Wilson 37 J.L. Kelly 38 Samuel Rubin 39 D.L. Smith 39 J.T.Enas? 40 William E. Little 41 B.L. Bailey 42 Willis Walley 42 Edward A. Guice 43 A.G. Parker 44 Louis Goetschel? 46 James A. Wall 55 Herbert Casson Hughes 56 Page 2: John H. Maull, received the degree of Doctor of Medicine from the University of Louisville located at Louisville, Ky, his deploma dated 2-27-1880. That his full name is John Haywood Maull, born 9-23-1858 at Louisville, Ky.He is now practicing medicine at Kilbourne, La., having previously practiced at Jeffersonville, Ind. Sworn to the 15th day of May, 1883 at Kilbourne, La. Page 3 and 4: William Davis Phillips born 9-7-1840, at Jasper, Co. Georgia, received his Doctor of Medicine deploma dated 1866 from the Jefferson Medical College, Philadelphia, Penn., that he is now practicing medicine in West Carroll Parish having previously practiced in Ark and Miss. Sworn to 10-1-1883 at Floyd, La. Page 5: Dr. J.S. Herring of Floyd, La. West Carroll Parish, received his Doctor of Medicine degree from the Kentucky School of Medicine at Louisville. His deploma dated 3-1856, that his full name is John Stephen Herring, that he was born in the state of Mississippi, that he is now practicing medicine at Floyd, West Carroll Parish, State of Louisiana., and has been at said place for the last twenty five years. Sworn to 10-19-1883. Page 6: Dr. William H. Berry of Floyd, La.,received his degree of medicine from the University of Louisiana located at New Orleans.It being dated 1867,that his full name is William Harden Berry, born 4-20-1845 at Yazoo Co,Ms.,that he is now practicing medicine in West Carroll having previously practiced in Ms.Sworn to 12-12-1883 at Floyd, La. Page 7: Dr. William T. Parker of Floyd, Louisiana.,received his degree of medicine from the New Orleans School located in New Orleans, La., dated 3-29-1860. That his full name is William Thomas Parker born 2-22- 1835 at Limestone Co, Ala.He is now practicing medicine at Floyd, La., Having previously practiced at Ms. And Ala.Sworn to 12-20-1883. Page 8: Dr. Richard P. Poole of Oak Grove, La., receive his degree of medicine from the Memphis Hospital Medical College at Memphis Tennessee 2-24-1884. That his full name is Richard P. Poole born South Carolina, that he is practicing medicine in the vacinity of Oak Grove and has resided there for the past 2 years. Sworn to 4-18-1884. Page 9&10: Dr. Thomas Nicholson Pulley of Oak Grove, La.,receive the degree of doctor of medicine from the University of Vanderbilt, located at Nashville, Tennessee., dated 3-31-1884. That his full name is Thomas Nicholson Pulley,that he was born 10-24-1859 in the parish of West Carroll, State of Louisiana, and is now practicing in West Carroll Parish,having previously practiced at no other place. Sworn to 2-16- 1885. Page 11: Dr Richard P Poole, receive his degree from the Memphis Hospital Medical College located at Memphis Tenn. Dated 2-29-1884, that his full name is Richard P. Poole born: 7-1-1882 at Newbury Co, South Carolina. He is now practicing at Oak Grove, La., having previously practiced near Meridian, Ms. Sworn to 12-30-1886 at Floyd. Page 12: Dr. John Shelton Lennox, received his degree from the Eddinburg College located at Eddinburg Scotland,dated 1858, that his full name is John Shelton Lennox born 12-24-18834 at Glascaw, Scotland. That he intends practicing medicine at Goshen, La., having previously practiced at Plattmine, this state and in Texas for 10 years. Sworn to 8-12-1889 at Floyd, La. Page 13: Dr. George Coleman Abell, received his degree from The Hospital College of medicine located at Louisville, Ky.6-17-1890, that his full name is George Coleman Abell born:1-28-1861 at Fluvanch? Co, Va. That he intends practicing medicine at Floyd, La., having previously practiced at Texarkana. Ark. Sworn to 7-8-1891 at Floyd, La. Page 14: Dr. Joseph Grigsby, received his degree from the Memphis Hospital Medical College at Memphis, Tenn.3-27-1891.His full name is Joseph Grigsby B:1-26-1865 at Woodville,La., that he intends practicing medicine at Floyd, having previously practiced at Oak Grove and Woodville, La. Sworn to 2-24-1892 at Floyd, La. Page 15: Dr. Thomas Theodric Shipp, receive his medical degree from the University Louisville Kentucky at Louisville, Ky.,dated 3-3-1885. His full name is Thomas Theodric Shipp B: 12-24-1861 at Carroll Co. Ms.,that he intends practicing medicine at Floyd having previously practiced at Eupora, Ms., and in Washington Co, Tx. At Chapell Hill. Sworn to 4-27-1892. Page 16: Dr. Robert H. McCutcheon, receive his degree from the College of American Medicine And Surgery at Macon, Georgia., dated 3-2-1875, that his full name is Robert H. McCutcheon B: 8-11-1846. He intends to practice at Floyd, having previously practiced at Collumbus, Macon, and Augusto, Georgia. Sworn to 3-13-1893 at Floyd, La. Page 17: Dr. James H. Robinson,says that he has been a practicing physician for the past thirty four years in the parish of Carroll, now parish of West Carroll, having practiced the profession continuously for said time and that under the law he is entitled to register as a practicing physician. That his full name is James Howell Robinson B:9- 6-1833 at Clinton, Hinds Co, Ms., and attended a medical institution at St. Louis, Missouri. He intends to practice medicine at Oak Grove, La.West Carroll Parish, La. Sworn to 8-14-1893. Page18: Dr. James Vernon Trezevant, received his degree from the Kentucky School of Medicine at Louisville, Ky., dated 6-21-1893. That his full name is James Vernon Trezevant B: 11-27-1867 at near Winsberaugh, La. in Franklin Parish.That he intends to practice medicine on Bayou Vidal in the aforesaid parish ad state. Sworn to 8-7-1893. Page 19: State of La. Parish of Madison I hereby certify that the above and foregoing is a true and correct copy from the original now on file and of record in my office in physicians record book “A” pages 3 etseq, witness my signature and offical seal, this 6th day of Sept A.D. 1893. J.C. Clemons, Clerk and Ex-Officio Recorder. A true record, W.A.Hedrick, Clerk and Ex-Officio Recorder. Page20: State Board of Medical Emaminers City of New Orleans New Orleans May 7, 1904 This is to certify that Walter Noble has this day appeared before the State Board of Medical Examiners on the part of the La. State Medical Society, and having been examined by said board and found competent and worthy, is granted this certificate to practice medicine in any of its branches in the state of La. Dated 7-18-1904 Page 21: State Board of Medicial Examiners City of New Orleans New Orleans May 4, 1906 This is to certify that Dr. E.M.Campbell has this day appeared before the State Board of Medical Examiners on the part of the Louisiana State Medical Society, and having been examined by said board and found competent and worthy, is granted this certificate to practice medicine in any of its branches in the state of Louisiana.Signed: A. T. Barrow, M.D. President, F.M.Thornhill, vice-Pres, C.D. Simmons, M.D., E.L. McGehee,M.D., F.A. Larne,M.D., Sec-Tres. Dated 6-7-1906. Page 22: Louisiana State Board of Health Copy of Certificate. State Board of medical examiners City of New Orleans May 4th, 1906 This is to certify that Dr. C.W. Smith, has this day appeared before the state board of medical examiners on the part of the Louisina State Medical Society, and having been examined by said board and found competent and worthy, is granted this certificate to practice medicine in an of its branches in the State of Louisiana. Signed: A.T. Barron, M.D.Pres, F.M.Thornhill,Vice-Pres.,C.D.Simmons,M.D., E.L.McGehee,M.D.,F.A.Larne, M.D., Sec-Tres., A true copy of the original certificate on file in the office of the Louisiana State Board of Health, registered May 19th 1906. W. T. Ingram, Sec. Of La. State Board of Health. A true record recorded July 23 A.D. 1908. R.F.Cummins, Clerk of the 7th dist. Court. Page23: La. State Board of Health Copy of certificate State Board of medical examiners City of New Orleans, New Orleans May 3th,1901 This is to certify that Dr. J.J. Fluke has this day appeared before the State Board of Medical Examiners on the part of the La. State Medical Society, and having been examined by said board and found competent and worthy is granted this certificate to practice medicine in any of its branchs in the state of Louisiana. Signed: H.S.Cocram,M.D.,Pres-New Orleans, A.F.Barrow, M.D., Vice-Pres-St. Francisville, F.A.Larne,M.D.,Sec-Tres. New Orleans, J.D.Trahan,M.D. Lafayette. A true copu of the original certificate on file in the office of the Louisiana State Board of Health, registered June 4th 1901. (seal) E.S.Kelly, M.D.Secretary State Board of Health. A true record R.F.Cummins, clerk 7th D.C. The above was recorded June 25th 1909. Page24: Duplicate #46 Louisiana State Board of Health Copy of Certificate, State Board of Medical Examiners City of New Orleans, New orleans Oct. 7th, 1895 This is to certify that Dr. O. B. Lewis has this day appeared before the State Board of Medical Examiners on the part of the La. State Medical Society, and having been examined by said board and found competent and worthy is granted this certificate to practice medicine in any of its branches in the State of Louisiana. T.S. Kennedy, M.D. Pres.,A.F. Barrow,M.D.,H.S. Cocram,M.D. Secretary-Tresurer A true copy of the original certificate on file in the office of the La.State Board of Health. Registered February 3rd1898, E.S.Kelly secretary La. State Board of Health. A true record recorded June 25th 1909. R.F.Cummins, Clerk 7th D.C. Page 25:Duplicate #132- State Board of Medical examiners City of New Orleans, Nov.2,1909 This is to certify that Dr. Arthur S. Bliss has this day appeared before the State Board of Medical Examiners on the part of the Hahnemann? Medical Association of La., and having been examined by said board and found competent and worthy is granted this certificate to practice medicine in any of its branches in the state of Louisiana. Registered La. State Board of Health on this 5th day of Nov. 1909. (seal) E. Kissy, Secretary, C.R.Mayers,M.D. President, Gayle Aiken, M.D. Secretary. A true record R.F. Cummins, clerk 7th D.C. Dr. A.S.Bliss certificate recorded 12-23-1907. Temporary Permit: Louisiana State Board of Medical Examiners This temporary permit is granted to Dr.Ivy Robert Fowler, graduate University of Louisiana Medical Dept., year 1910 to practice medicine in Louisiana until Oct 18-19 date of the next regular examination of the board. New Orleans, LA. E.L.McGehee A true record R.F.Cummins, clerk 7th D.C. Dr.Ivy Robert Fowler temporary permit recorded Aug 7th, 1910 Page 26:State Board of Medical Examiners City of New Orleans, Oct 19, 1910 This is to certify that Dr. Ivy Robert Fowler, a graduate of University of Louisville year 1910 has this day appeared before the state of medical examiners and having been examined by said board and found competent and worthy is granted this certificate to practice medicine in any of its branches in the State of Louisiana. Recorded 11-8-1910 #319: Temporary License La. State Board if Dentistry City of New Orleans Is hearby granted to Dr.C.S.Rine to practice Dentistry in this state until the 1st day of June 1914, having complied with all the requirements of this board except examination.Given under our hand and seal on the 12th day of Jan. 1914. Recorded 2-3-1914. Page 27: Louisiana State Board of Health Copy of certificate State Board of Medical examiners. City of New Orleans May 7th 1914 This is to certify that Dr. D.R. Evans has this day appeared before the State Board of Medical Examiners on the part of the La. State Medical Society and having been examined by said board and found competent and worthy is granted this certificate to practice medicine in any of its branches in the State Of Louisiana.Copy of certificate registered 6-6-1914. Recorded 3-2-1914. Page 28: Duplicate #59 State Board of Medical Examiners, City of New Orleans May 20, 1911 This is to certify that Dr. C.C. Thompson, graduate of Memphis Hospital Medical College 1911, has this day appeared before the State Board of Medical Society and have been examined by said board and found competent and worthy, is granted this certificate to practice medicine in any of its branches in the State of Louisiana. Registered 6-26-1911, Recorded 5-14-1914 Page29: Pennsylvania College of Dental Surgery This is to certify that at a public commencement held Friday February 28th 1890, Dr.J.S. Birdsong of Mississippi received the deploma of this institution conferring upon him the degree of Doctor of Dental Surgery. Satisfactory evidence having been furnished that the said likeness was destroyed by fire. This certificate is issued. Geo. W. Warren, A.M.D.D.S., Secetary of the Faculty Joseph Pettil, M.D. D.D.S, Secetary of the Board of Corporators Phildelphia, August 14, 1907 Louisiana State Board of Dentistry City of New Orleans License #435 This certifies that the State Board of Dentistry has received satisfactory evidence that Dr. J.S. Birdsong is a licentiate of the State of Mississippi having received certificate from Miss. Board on the 9th day of Dec. A.D. 1892; and that having complied with all the requirements of this board. He is hereby authorized to pursue the practice of Dentistry in this state.This certificate is issued under reciprocity agreement given under our hand and seal at New Orleans this first day of June in the year of our Lord 1916. Dr. J.S. Birdsong certificate recorded June 29th 1916. Duplicate #111- Copy of Certificate May 21, 1909 Dr. Benjamin F. Green, has been examined and found competent by the board, is granted a certificate to practice medicine in the State of Louisiana. A true copy of the original certificate on file in the office of the La. State Board of Health. Registered Sept. 22,1909 Recorded July 17,1916 Page 31: Duplicate #57 Nov. 3, 1913 This is to certify that Dr. George Fellaws McCormack, has this day appeared before the State Board of Medical Examiners on the part of the Hahnemann Medical Association of La. and having been found competent and worthy is granted this certificate to practice medicine in any of its branches in the state of La. Through reciprocity with the State Board of Health of Illinois. Recorded Aug. 17, 1916. Duplicate # 53 Copy of Certificate New Orleans, Nov. 20,1910 This is to certify that Dr.J.C. Baskin, has this day appeared before the State Board of Medical Examiners on the part of the La. State Medical Society and having been examined by said board and found competent and worthy is granted this certificate to practice medicine in any of its branches in the State of La. A true copy of the original cetificate on file in the office of the La. Board of Health. Reg. June 14th 1910 Page 32: Temporary License La. State Board of Denistry, New Orleans Hereby granted to Dr.O.T. Gilliland to practice Dentistry in the state until the 1st day of June 1917. This dated Aug. 1916.Rec. Sept.12,1916. Page 33: Certificate #48-B Dr. Thomas Grey Biggs is a graduate of Tulane College of Dentistry, State of Louisiana having received the degree of Dr. of Dental Surgery on the 5th day of June A.D. 1918.This dated 6-6-1918. Rec. 6-18-1918. Louisiana State Board of Dentistry, City of New Orleans Temporary License Is hereby granted to Dr. Marion A. Gilliland to practice Dentistry in this state until the 1st day of June 1919, having complied with all the requirements of this board except examination. This the 20th day of June,1918. Recorded 7-4-1918. Page34: Certificate # 63-B La. State Board of Dentistry J.B. Robinson, is a graduate of Tulane College of Dentistry, State of Louisiana, having received degree June 5th 1918.Rec. 8-23-1918. #153: S.J. Franks, recorded 2-24-1919 State of Louisiana Board of Examiners in Optometry, S.J.Franks, of Tallulah, La., in Madison Parish is granted this certificate entitling him to practice Optometry in the state by reason of having submitted satisfactory evidence and successfully passed the examination required before the board of examiners in Optometry. This cetificate is revocable for cause. Con’t on P.35 Page 35: Given under our hands and the seal of the Board of Examiners in Optometry this 10th day of January in the year 1919. #113- Henry Farrell, of Winnsboro, La., in Franklin Parish is granted a certificate to practice Optometry in the state, this 10th day of January 1919. Page 36: La. State Board of Veterinary Medical Examiners Certificate of permanent license We have hereby examined McHenry Greer, age 23 of Wyatt, La.parish of Jackson, who is a graduate of Kansas City 1917, and find him qualified To practice Veterniary Medicine or Vertineary Surgery or both in the state. This the 13th day of June, 1917. Recorded April 30,1919. Page 37: Copy of Certificate: May 4, 1906 J.W. Wilson, is given this certificate to practice medicine in the State of Louisiana. A true copy of the original on file in the office of the State Board of Health, registered May 17,1906. Recorded May 10,1919. Page 38: Duplicate #11: May 10,1907 State of Louisiana Dr. J.L. Kelly, is granted this certificate to practice medicine in any of its branches in the State of Louisiana. A true copy on file in the office of the Louisiana State Board of Health. Registered June 5th 1907. Recorded Aug. 13th 1919. Page 39: #215: Samuel Rubin, is certified to practice Optometry in the state this 14th day of April 1919. Recorded Oct. 16th 1919. #229: State of Louisiana D.L. Smith, of Winsborro, La.,in Franklin Parish is granted this certificate of Optometry in the state. July 16th 1919. Recorded July 21, 1920 Page40: State of Louisiana- Parish of Richland J.T. Enas, of Delhi, Louisiana in Richland Parish is granted this certificate to practice Optometry in the state this 14th day of April 1919.Recorded Aug.16,1920. Page 41: Louisiana State Board of Medical Examiners New Orleans June 12th 1920. This is to certify that Dr. William E. Little, a graduate of College of Physicians and Surgeons, Memphis, Tenn. Year 1910 is granted this certificate to practice medicine in the State of Louisiana. Page 42: Board of Health- State of La- City of New Orleans, 5-2-1898 Dr. B.L. Bailey, is granted this certificate to practice medicine in the State of Louisiana.Registered 12-13-1899. Recorded 9-29-1920. State of Louisiana:Certificate #77 New Orleans- 6-11-1921 This is to certify that Dr. Willis Walley having this day presented to the State Board of Medical---Cont on page 43--- Page 43: Examiners the diploma issued by Atlanta College of Physicians and Surgeons, date 1902. And certificate of examination by the State Medical Examiners of the State of Mississippi year 1920 is granted this certificate to practice medicine in the State of Louisiana. Recorded 7-19-1921. Cert. #2385: State of Louisiana, New Orleans 12-9-1922 Dr. Edward A. Guice, graduate of Memphis Hospital Medical College year 1908, is granted a certificate to practice medicine in La. Rec. 1-10-1923. Page 44: Dr. A.G. Parker is a graduate of Atlanta Dental College, State of Georga, on May 26th 1915. He is authorized to practice Dentistry in the state of Louisiana. This the 4th day of Dec. 1923. Rec. 1-18-1924. Page 45: New Orleans June 14th 1913 Dr. Emmett Doil Butler, a graduate of Tulane University Medical Department year 1913, is granted this certificate to practice medicine in the state of Louisiana. Registered April 1st 1914. Page 46: State of Louisiana # 120 Louis Goetschel, of Shreveport, La.,in Caddo Parish is granted this certificate intitling him to practice Optometry in this state on the 10th day of January 1919. Recorded 11-5-1928. Page 47: The Board of Pharmacy of the State of Louisiana William A Dozier of Oak Grove State of Louisiana, is declared a registered Pharmacist, and entitled to all the priviliges granted a registered Pharmacist. This the 16th day of July 1926. Rec. 1-14-1929. Page 48: Louisiana State Board of Dentistry Cert # 111-B City of New Orleans Dr. P.J. Bumgarner is a gratuate of Atlanta-Saw? Dental College, State of Georgia having received his degree on the 29th day of May 1919. He is authorized to practice Denistry in the state. This 7-21-1919. Rec.2-27-1929. Page 49: La. State Board of Dentistry Cert # 93-B City of New Orleans Dr. E.O. Burnham, a graduate of Southern Dental College State of Georgia, receiving degree May, 1912 is authorized to practice Dentistry in this state. This dated 9-2-1918. Recorded 4-30-1929. Page 50: Cert # 93-B Dr. E.O. Burnham, is authorized to practice Dentistry in the state, this the 15th day of June 1932. Recorded 6-30-1932. Page 51: State Board of Osteopaths- State of La. Cert. Of Registration Dr. Kenneth S. Fleming, is authorized to practice Osteopathy in the State of Louisiana. This the 29th day of June 1932. Rec. 7-15-1932. Page 53: State Board of Medical Examiners State of La. New Orleans June 4th 1934 Ford Smithe Williams, M.D., a graduate of Louisiana State University Medical Center year 1933, is granted this certificate to practice medicine in the State of Louisiana. Recorded 7-27-1934. Page 54: Louisiana State Board of Health- City of New Orleans 5-10-1907 Copy of Certificate-Dup. #54 Dr. C.M. Jarrell is granted this certificate to practice medicine in the State of Louisiana. Recorded Nov. 23, 1937. Page 55: State of Louisiana #397 Board of Examiners in Optometry James A. Wall of Epps, La., in West Carroll Parish, is granted this certificate entitling him to practice Optometry in the State.This the 14th day of Aug. 1938. Filed Dec. 27th 1938. Page 56: State of Louisiana #391 Board of Examiners Herbert Casson Hughes of Monroe, Louisiana.,in Ouachita Parish is granted this certificate to practice Optometry in the state. Given this 21st day of June in year 1937. Filed Aug. 17, 1939.