| Date of birth: | Nov 28, 1942 |
| Hair: | Blond |
| Eyes: | Blue |
| Visitation: | 12MM |
| Arresting agency: | BROWARD SHERIFF'S OFFICE |
| Arrest number: | 501500146 |
| Arrest date: | Jan 9, 2015 |
| Booking location: | Broward County, FL |
| Statute: | 456.065-2d1 |
| Status: | PENDING TRIAL |
| Description: | PRACTICE WO LIC OR W SUSP RVKD VOID LIC |
| Charge number: | 1 |
| Case number: | 14010602CF10A |
| Bond type: | BD |
| Bond amount: | $1,000 |
