| Date of birth: | Jun 1, 1944 |
| Hair: | Gray |
| Eyes: | Brown |
| Photo date: | May 15, 2000 |
| Id number: | 164893 |
| Arrest date: | May 15, 2000 |
| Booking number: | 223155 |
| Release date: | May 16, 2000 |
| Booking location: | Lee County, FL |
| Type: | Felony |
| Description: | PRESCRIPTION FRAUD |
| Court: | Circuit Court |
| Case number: | 001789CF |
| Agency: | CCPD |