| Date of birth: | Jan 31, 1957 |
| Hair: | Brown |
| Eyes: | Brown |
| Residency: | Resident |
| Juvenile: | No |
| Employment: | DOCTOR |
| Employer school: | ST JOSEPHS HOSPITAL |
| Dl number: | M200433570310 |
| Citizen: | Y |
| Birth place: | PARAGWAY |
| Booking location: | Charlotte County, FL |
| Statute description: | FAIL TO OBEY POLICE OR FIRE DEPARTMENT OFFICIALS |
| Statute: | 316.072 3 |
| Offense date: | Jul 3, 2000 |
| Obts number: | 9033364 |
| Court date: | Jul 19, 2000 |
| Bond amount: | $500 |
| Arresting officer: | 0494 |
| Arrest location: | HARBOR |
| Agency: | FL0080000 |