| Date of birth: | Oct 16, 1970 |
| Mni: | 30512 |
| Supervising agent: | Dawn Chouinard |
| Oid number: | 215497 |
| Inmate status: | Supervised Release |
| Facility: | SUPV REL |
| Expiration date: | Jul 10, 2012 |
| Admit date: | Oct 7, 2004 |
| Booking number: | 27136 |
| Booking date: | Aug 19, 2014 |
| Booking location: | Crow Wing County, MN |
| Release date: | Jul 10, 2007 |
| Booking location: | Chippewa County, MN |
| Statute: | 243.166.5(a) |
| Status: | COURT/PENDING |
| Level: | F |
| Description: | Predatory Offender - Violate Registration Req |
| Offense modifier: | NOT/APPL |
| Offense description: | CSC 3-PERSONAL INJURY-PARENT-UNDER 13-F |
| Minnesota statute s: | 609 344 1 C 609 109 7 |
| Court file number: | K9-04-0166 |
| Conviction county: | CHIPPEWA |