| Date of birth: | May 18, 1945 |
| Hair: | Unknown or completely bald |
| Eyes: | Multicolored |
| Supervision type: | PROBATION FELONY |
| Supervision begin date: | Apr 16, 2010 |
| Scheduled termination date: | Apr 15, 2013 |
| Inmate status: | ACTIVE |
| Facility: | CENTRAL OFFICE |
| DC number: | D34032 |
| Release date: | Apr 16, 2010 |
| Booking location: | Broward County, FL |
| Sentence length: | 2Y 0M 0D |
| Discharge date: | Jan 20, 2009 |
| Offense date: | Mar 1, 2003 |
| Offense: | PRAC.HLTHCARE W/O LIC/INJ |
| County: | BROWARD |
| Case number: | 0606454 |