| Date of birth: | 1973 |
| Status: | ACTIVE COMMUNITY SUPERVISION |
| Region unit office: | Unit 121 Deer Valley |
| Region unit agent: | 1 21 09 |
| Region description: | 216 Deer Valley RD; Room 4; Madison, WI 53713 |
| Doc: | 00645227 |
| Booking location: | Wisconsin |
| Statute: | UNKNOWN - IC |
| County: | OUT-OF-STATE |