| Date of birth: | Jul 6, 1959 |
| Unit description: | 5600 West Grande Market Dr, Appleton, WI 54913, (920)997-1480 |
| Unit: | 4 15 |
| Photo date: | Nov 10, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00579488 |
| Booking location: | Polk County, WI |
| Statute: | UNKNOWN - IC |
| County: | OUT-OF-STATE |