| Date of birth: | Jan 22, 1958 |
| Hair: | Gray |
| Eyes: | Blue |
| Release date: | Mar 20, 2009 |
| Inmate status: | RELS |
| City of birth: | GARANICH CITY |
| Cin: | 509676 |
| Build: | MED |
| Booking number: | 200903526 |
| Booking date: | Mar 19, 2009 |
| Bn: | 120581 |
| Birth place: | IL |
| Arrest date: | Mar 19, 2009 |
| Arresting agency: | PASCO CO SO |
| Booking location: | Pasco County, FL |
| Arresting agency: | PASCO CO SO |
| Arrest date: | Mar 19, 2009 |
| Arrest type: | ON VIEW |
| Dispo type: | SROR |
| Court case: | CRC0901495CFAES |
| Code: | 465.015.2b |
| Charge seq: | 1 |
| Charge description: | DISPENSE PRESCRIPTION WO LICENSE |
| Bond amount: | $0 |