| Date of birth: | Feb 15, 1967 |
| Hair: | Brown |
| Eyes: | Blue |
| Docket no: | 1195370 |
| Complexion: | MED |
| Birth place: | CT |
| Arrest date: | Jun 7, 2006 |
| Arresting agency: | PINELLAS COUNTY SHERIFF |
| Booking location: | Pinellas County, FL |
| Booking type: | FELONY |
| Statute: | 893.13(7)(A)(8)/F |
| Offense description: | WITHHOLDING INFORMATION FROM DOCTOR |
| Obts: | 5205120773 |
| Court case: | CRC0611930CFANO |
| Charge number: | 1 |
| Bond assessed: | $5,000 |
| Bond amount: | $0 |
| Agency report number: | SO06157038 |