| Hair: | Black |
| Eyes: | Brown |
| SO#: | P01017149 |
| Arresting agency: | Fulton County Sheriff's Office |
| Booking number: | 1140601 |
| Booking date: | Nov 28, 2011 |
| Release date: | Nov 29, 2011 |
| Booking location: | Fulton County, GA |
| Warrant: | 11SC105776 |
| Issuing authority: | FCSD |
| Charge: | MEDICAID FRAUD |
| Bond type: | $20,000 Total Bond |
| Warrant: | 11SC105776 |
| Issuing authority: | FCSD |
| Charge: | CONSPIRACY TO DEFRAUD STA |
| Bond type: | $0 Total Bond |
| Warrant: | 11SC105776 |
| Issuing authority: | FCSD |
| Charge: | PRACTIC MEDICINE W/O LIC |
| Bond type: | $0 Total Bond |