| Hair: | Black |
| Eyes: | Brown |
| SO#: | P01019181 |
| Arresting agency: | Fulton County Sheriff's Office |
| Booking number: | 1200857 |
| Booking date: | Jan 7, 2012 |
| Release date: | Jan 7, 2012 |
| Booking location: | Fulton County, GA |
| Warrant: | 11SC105776 |
| Issuing authority: | FCSD |
| Charge: | MEDICAID FRAUD_SPC |
| Bond type: | $10,000 Other |
| Warrant: | 11SC105776 |
| Issuing authority: | FCSD |
| Charge: | CONSPIRACY DEFRAUD ST SPC |
| Bond type: | $10,000 Other |
| Warrant: | 11SC105776 |
| Issuing authority: | FCSD |
| Charge: | PRACT MEDICIN W/O LIC_SPC |
| Bond type: | $5,000 Other |