| Date of birth: | Jan 1, 1959 |
| Unit description: | 1340 E. Green Bay St, Suite 200, Shawano, WI 54166-2198, (715)526-2159 |
| Unit: | 6 15 |
| Pin number: | 946117 |
| Photo date: | Feb 25, 2013 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00598743 |
| Booking location: | Shawano County, WI |
| Statute: | 346.63(2)(A)1 M |
| County: | SHAWANO |
| Convicted: | Feb 6, 2013 |
| Case number: | 12CF246 |