| Date of birth: | 1966 |
| Hair: | Gray |
| Eyes: | Blue |
| Status: | ACTIVE COMMUNITY SUPERVISION |
| Region unit office: | Unit 508 Balsam Lake |
| Region unit agent: | 5 08 05 |
| Region description: | 941 Mallard LN; Suite 105; Balsam Lake, WI 54810; (715) 485-3114 |
| Doc: | 00650593 |
| Booking location: | Wisconsin |
| Statute: | 961.41(3G)(E) |
| County: | POLK |
| Convicted: | Jan 9, 2017 |
| Case number: | 16CF210 |