| Date of birth: | 1968 |
| Status: | ACTIVE COMMUNITY SUPERVISION |
| Region unit office: | Unit 804 WI Rapids |
| Region unit agent: | 8 04 04 |
| Region description: | 131 24th ST; Wisconsin Rapids, WI 54494 |
| Doc: | 00651472 |
| Booking location: | Wisconsin |
| Statute: | UNKNOWN - IC |
| County: | OUT-OF-STATE |