| Date of birth: | Feb 1, 1982 |
| Unit description: | 1340 E. Green Bay St, Suite 200, Shawano, WI 54166-2198, (715)526-2159 |
| Unit: | 6 15 |
| Pin number: | 920150 |
| Photo date: | May 4, 2012 |
| Inmate status: | REVOKED |
| Booking number: | 00586979 |
| Booking location: | Shawano County, WI |
| Statute: | 939.05, 939.63(1)(A)1 , 947.01 M, 968.075(1)(A) |
| County: | SHAWANO |
| Convicted: | Mar 28, 2012 |
| Case number: | 11CM415 |