| Date of birth: | Dec 1, 1961 |
| Hair: | Bald |
| Eyes: | Blue |
| Docket no: | 1433759 |
| Complexion: | MED |
| Birth place: | FL |
| Arrest date: | Dec 7, 2010 |
| Arresting agency: | PINELLAS COUNTY SHERIFF |
| Report: | 2010-45865/1 |
| Supervision type: | PROBATION FELONY |
| Supervision begin date: | Dec 29, 2010 |
| Scheduled termination date: | Jun 28, 2012 |
| Inmate status: | ACTIVE |
| DC number: | R69385 |
| Description: | Tattoo upper right arm, a lady. |
| Arrest date: | Dec 3, 2010 |
| Arrest location: | 6004 CORTEZ BV |
| Booking location: | Hernando County, FL |
| Booking type: | FELONY |
| Booking location: | Charlotte County, FL |
| Statute: | 893.13(7)(A)(8)/F |
| Offense description: | WITHHOLDING INFORMATION FROM DOCTOR |
| Obts: | 5206084225 |
| Court case: | CRC1014020CFANO |
| Charge number: | 1 |
| Description: | 893.13 - OBTAIN CONTR SUB BY FRAUD/FORG |