| Date of birth: | Aug 24, 1941 |
| Hair: | Brown |
| Eyes: | Brown |
| Docket no: | 1444800 |
| Complexion: | LGT |
| Birth place: | EN |
| Arrest date: | Mar 4, 2011 |
| Arresting agency: | ST. PETERSBURG POLICE |
| Booking type: | FELONY |
| Statute: | 893.13(7)(A)(8)/F |
| Offense description: | DOCTOR SHOPPING (WITHHOLD INFO FROM DOCTOR) |
| Obts: | 5207112754 |
| Court case: | CRC1104545CFANO |
| Charge number: | 1 |
| Bond assessed: | $2,000 |
| Bond amount: | $0 |
| Agency report number: | SP11011285 |
