| Date of birth: | 1976 |
| Hair: | Black |
| Eyes: | Brown |
| Status: | REVOKED |
| Region unit: | 7 08 |
| Region description: | 3422 Wilgus Ave; Sheboygan, WI 53081-4632; (920)459-3097 |
| Doc: | 00597831 |
| Booking location: | Sheboygan County, WI |
| Statute: | 940.19(1) M , 968.075(1)(A) |
| County: | SHEBOYGAN |
| Convicted: | Jan 8, 2013 |
| Case number: | 12CF561 |