| Date of birth: | May 13, 1957 |
| Hair: | Blonde |
| Eyes: | Blue |
| Residency: | Resident |
| Marital status: | Married |
| Juvenile: | No |
| Employment: | RECEPTIONIST |
| Employer school: | CARDIOLOTY ASSOC |
| Education: | 13.5 YRS |
| Dl number: | G612520576730 |
| Citizen: | Y |
| Birth place: | WARREN, MI |
| Booking location: | Charlotte County, FL |
| Statute description: | CRIMINAL REGISTRANT |
| Statute: | 9040 |
| Offense date: | Mar 18, 2004 |
| Obts number: | 0801013996 |
| Level: | N |
| Charge: | L |
| Bond amount: | $0 |
