| Date of birth: | 1969 |
| Status: | ACTIVE COMMUNITY SUPERVISION |
| Region unit office: | Unit 101 |
| Region unit agent: | 1 01 18 |
| Region description: | 818 Badger RD; Suite 200; Madison, WI 53713; (608) 266-2085 |
| Doc: | 00646063 |
| Booking location: | Wisconsin |
| Statute: | UNKNOWN - IC |
| County: | OUT-OF-STATE |