| Date of birth: | Feb 1, 1953 |
| Obts: | 5003295525 |
| Jacket number: | 0411868 |
| Holds for other agencies: | No |
| Arresting agency: | 01 - PBSO |
| Booking date: | Sep 30, 2010 |
| Booking officer: | J BENNETT |
| Release date: | Oct 1, 2010 |
| Booking location: | Palm Beach County, FL |
| Description: | HEALTH-SAFETY-PRACTICE MEDICINE WITHOUT ACTIVE LICENSE |
| Charge number: | 458.327-1055 |
| Booking number: | 2010048777 |
| Bond amount: | $5,000 |