| Date of birth: | Sep 18, 1986 |
| Unit description: | 4160 N Port Washington Rd, Glendale, WI 53212, (414)229-0400 |
| Unit: | 3 29 |
| Pin number: | 893149 |
| Photo date: | Oct 20, 2011 |
| Booking number: | 00580140 |
| Booking location: | Wisconsin |
| Statute: | UNKNOWN - IC |
| County: | OUT-OF-STATE |