| Date of birth: | Nov 5, 1978 |
| Unit: | Temp Out |
| Admission date: | Dec 9, 2011 |
| Booking number: | 3476-2011 |
| Booking location: | Westmoreland County, PA |
| State charge code: | 75 1543 B1 S |
| Judge dj: | Conway, Charles |
| Description: | Drg Lic Sus/rev Purs To Sec 3731/1547b1 |
| Case: | TR-0003317-2010 |