Name | Justin Ray Beauregard |
---|---|
Sex | male |
Birth Date | April 8, 1996 |
Death Date | September 12, 1996 |
Age at Death | 5 months, 4 days old |
Birth Place | California |
Death Place | Los Angeles County, California |
Father's Last Name | Beauregard |
Mother's Maiden Name | McCoy |
Social Security Number | 625-88-0060 |