| Date of birth: | 1978 |
| Status: | ACTIVE COMMUNITY SUPERVISION |
| Region unit office: | Unit 504 |
| Region unit agent: | 5 04 23 |
| Region description: | 2700 College DR; Rice Lake, WI 54868; (715) 234-6925 |
| Doc: | 00643616 |
| Booking location: | Wisconsin |
| Statute: | UNKNOWN - IC |
| County: | OUT-OF-STATE |