| Date of birth: | Sep 30, 1962 |
| Hair: | Black |
| Eyes: | Brown |
| Sbi number: | 000701684B |
| Facility: | Paroled from TALBOT |
| Admission date: | Jun 11, 2004 |
| Booking location: | Camden County, NJ |
| Discharge date: | Jun 11, 2004 |
| Offense: | 1 count of : 2C:21-4 3A*2 Fraud:Health Care Claims/2 |
| Maximum term: | 3 Years |
| County: | Camden |
| Commit number: | CAM021000182S |