| Date of birth: | 1980 |
| Status: | ACTIVE COMMUNITY SUPERVISION |
| Region unit office: | Unit 508 Balsam Lake |
| Region unit agent: | 5 08 12 |
| Region description: | 941 Mallard LN; Suite 105; Balsam Lake, WI 54810; (715) 485-3114 |
| Doc: | 00641218 |
| Booking location: | Wisconsin |
| Statute: | 943.03 , 943.20(1)(A) |
| County: | POLK |
| Convicted: | Jun 1, 2015 |
| Case number: | 14CF249 |