| Date of birth: | Jan 3, 1961 |
| Hair: | Brown |
| Eyes: | Brown |
| Pin number: | 557282 |
| Photo date: | Apr 26, 2004 |
| Inmate status: | TERMINATED |
| Booking number: | 00460725 |
| Booking location: | Clark County, WI |
| Statute: | ADMIN CODE M |
| County: | CLARK |
| Convicted: | Mar 31, 2004 |
| Case number: | 03CF00155 |