| Date of birth: | May 11, 1962 |
| Hair: | Brown |
| Eyes: | Brown |
| Docket no: | 1441601 |
| Complexion: | LGT |
| Birth place: | OH |
| Arrest date: | Feb 9, 2011 |
| Arresting agency: | PINELLAS COUNTY SHERIFF |
| Booking type: | FELONY |
| Statute: | 999999-05 |
| Offense description: | ALACHUA CO #0902157 VOP G/T |
| Obts: | 5207111201 |
| Court case: | CRCAB99175CFANO |
| Charge number: | 1 |
| Agency report number: | SO11047641 |
| Statute: | 893.13(7)(A)(8)/F |
| Offense description: | DR SHOP WITHHOLD INFORMATION FROM DOCTOR |
| Obts: | 5207111201 |
| Court case: | CRC1102740CFANO |
| Charge number: | 2 |
| Agency report number: | SO11047641 |