| Date of birth: | May 13, 1956 |
| Hair: | Partial gray |
| Eyes: | Brown |
| Status: | Probationer |
| Sid number: | 5057278A |
| Mdoc number: | 961204 |
| Discharge date: | Jun 29, 2017 |
| Assigned location: | Wayne/Detroit Greenfield/Probation |
| Release date: | Jun 30, 2015 |
| Booking location: | Michigan |