Name | Darrell Lavine Wiriaatmadja |
---|---|
Sex | male |
Birth Date | October 25, 1985 |
Death Date | March 20, 1986 |
Age at Death | 4 months, 23 days old |
Birth Place | California |
Death Place | San Joaquin County, California |
Mother's Maiden Name | Wiraatmadja |
Social Security Number | 000-00-000 |