| Date of birth: | 1970 |
| Status: | ACTIVE COMMUNITY SUPERVISION |
| Region unit office: | Unit 101 |
| Region unit agent: | 1 01 19 |
| Region description: | 818 Badger RD; Madison, WI 53713; (608) 266-2085 |
| Doc: | 00619811 |
| Booking location: | Dane County, WI |
| Statute: | UNKNOWN - IC |
| County: | OUT-OF-STATE |