| Date of birth: | 1952 |
| Status: | ACTIVE COMMUNITY SUPERVISION |
| Region unit office: | Unit 607 Medford |
| Region unit agent: | 6 07 17 |
| Region description: | 224 2nd ST; Medford, WI 54451; (715) 748-3504 |
| Doc: | 00638123 |
| Booking location: | Wisconsin |
| Statute: | UNKNOWN - IC |
| County: | OUT-OF-STATE |