| Date of birth: | 1945 |
| Hair: | Brown |
| Eyes: | Green |
| Work address: | NOT EMPLOYED |
| Violent: | Yes |
| Registration renewed date: | Sep 30, 2013 |
| Registration id: | 25451 |
| Palm print: | Needed |
| Initial registration date: | Nov 7, 2008 |
| Home address: | PIEDMONT GERIATRIC HOSPITAL, 5001 EAST PATRICK HENRY HIGHWAY, BURKEVILLE, VA 23922 |
| Finger print: | On File |
| Dna: | Needed |
| Booked at: | NOTTOWAY CO |
| Booking location: | Nottoway County, VA |