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This is an original 1904 black and white in-text lithograph illustrated by M.G. Kettner of Henry T. Byford a prominent surgeon and gynecologist from the Chicago area.
This 109+ year old Item is rated Near Mint / Very Fine+. No creases. No natural defects. No surface rub. No tears. No water damage. Please note: There is printing on the verso.
This piece was illustrated by Kettner, M.G.. Artist signature in print - bottom right of image.