| Date of birth: | 1969 |
| Status: | ACTIVE COMMUNITY SUPERVISION |
| Region unit office: | Unit 102 |
| Region unit agent: | 1 02 08 |
| Region description: | 2565 Johnson ST; Madison, WI 53704; (608) 243-3300 |
| Doc: | 00636328 |
| Booking location: | Dane County, WI |
| Statute: | UNKNOWN - IC |
| County: | OUT-OF-STATE |