| Date of birth: | 1962 |
| Unit description: | 4160 N Port Washington Rd; Glendale, WI 53212; (414)229-0600 |
| Unit: | 3 12 |
| Pin number: | 800681 |
| Photo date: | Nov 4, 2009 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00547754 |
| Booking location: | Polk County, WI |
| Statute: | UNKNOWN - IC |
| County: | OUT-OF-STATE |