| Date of birth: | Jun 22, 1955 |
| Ethnicity: | White |
| Hair: | Brown |
| Eyes: | Brown |
| Sbi number: | 000346365B |
| Facility: | Paroled from CRAF |
| Admission date: | Oct 13, 2010 |
| Booking location: | Burlington County, NJ |
| Discharge date: | Oct 13, 2010 |
| Offense date: | Mar 26, 2009 |
| Offense: | 1 count of : 2C:21-4 3C*3 Fraud:Health Care Claims/3 |
| Maximum term: | 3 Years |
| County: | Burlington |
| Commit number: | BUR100300316I |