| Date of birth: | 1964 |
| Hair: | Brown |
| Eyes: | Brown |
| Jacket number: | 151667 |
| Arresting agency: | EPD |
| Arrest number: | 42339 |
| Arrest officer: | Jordan Ensor |
| Booking date: | Jan 21, 2014 |
| Booking location: | Carter County, TN |
| Status: | PENDING |
| Counts: | 22 |
| Control number: | 22583B |
| Charge number: | 64714 |
| Charge description: | Prescription Fraud |
| Case number: | 22583B |
| Arrest code: | 53-11-402 |
| Agency: | EPD |