| Date of birth: | 1973 |
| Hair: | Brown |
| Eyes: | Brown |
| Registration end date: | Oct 13, 2013 |
| Registration: | 343521 |
| Lifetime registration: | No |
| Level: | Sex Offender |
| Inmate status: | Out of Area |
| Arresting agency: | Indiana Sex and Violent Offender Registry |
| Booking date: | Oct 14, 2003 |
| Booking location: | Indiana |