| Date of birth: | 1963 |
| Unit description: | 5706 Odana Road; 2nd Floor; Madison, WI 53719; (608)273-5800 |
| Unit: | 1 12 |
| Pin number: | 559933 |
| Photo date: | May 11, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00461528 |
| Booking location: | Polk County, WI |
| Statute: | 948.22(2) F |
| County: | DANE |
| Convicted: | Apr 22, 2004 |
| Case number: | 04CF00079 |