| Contact Information | |
|---|---|
| First Name | alice |
| Last Name | davis |
| State | IL |
| ascook18@yahoo.com | |
| Alternate Email | |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Self |
| Name of Injured | alice - davis |
| Date of Injury | 10/18/1955 |
| Type of Injury | Obstetric |