| Date of birth: | Jan 28, 1962 |
| Supervising agent: | Dawn Bloch |
| Oid number: | 180574 |
| Inmate status: | Intensive Supervised Release |
| Facility: | ISR |
| Expiration date: | Feb 2, 2017 |
| Admit date: | Apr 19, 2006 |
| Release date: | Oct 8, 2009 |
| Booking location: | Ramsey County, MN |
| Offense modifier: | NOT/APPL |
| Offense description: | FE-FAILURE TO REGISTER AS PREDATORY OFFENDER |
| Minnesota statute s: | 243 166 5 a |
| Court file number: | KX-05-3524 |
| Conviction county: | RAMSEY |
