Name | William Robert Provine |
---|---|
Sex | male |
Birth Date | December 9, 1937 |
Death Date | June 28, 1981 |
Age at Death | 43 years, 6 months, 19 days old |
Birth Place | California |
Death Place | Los Angeles County, California |
Mother's Maiden Name | Youngblood |
Social Security Number | 562-42-4280 |