| Date of birth: | 1969 |
| Unit description: | 304 Bickford Street; Suite 1; New Lisbon, WI 53920-1528; (608)562-6111 |
| Unit: | 8 19 |
| Pin number: | 866054 |
| Photo date: | Mar 1, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00569417 |
| Booking location: | Polk County, WI |
| Statute: | UNKNOWN - IC |
| County: | OUT-OF-STATE |