| Date of birth: | Aug 15, 1963 |
| Hair: | No selection |
| Eyes: | No selection |
| County of conviction: | Lake |
| Classification: | Tier 1 |
| Status: | Out of Area |
| Registration: | 2049635 |
| Level: | Sex Offender |
| Booking location: | Lake County, IL |
| Booking number: | 2049635 |
| Jail name: | Michigan State Police Headquarters |
| Location: | 7150 Harris Dr, Dimondale, MI 48821 |
| Booking location: | Illinois |
| Description: | CRIMINAL SEXUAL ABUSE FORCE |
| Description: | 12-15(A)(1) - CRIM SEXUAL ABUSE/FORCE |
| Charges: | N/A |