| Date of birth: | Apr 23, 1954 |
| Hair: | Brown |
| Eyes: | Brown |
| Status: | Probationer |
| Sid number: | 2773723T |
| Mdoc number: | 747049 |
| Discharge date: | Dec 4, 2014 |
| Assigned location: | Shiawassee/Corunna |
| Description: | Scar- Left Wrist - vertical |
| Release date: | Dec 4, 2009 |
| Booking location: | Shiawassee County, MI |
| Status: | Active |
| Sentence number: | 1 |
| Discharge date: | Dec 4, 2009 |
| Offense date: | Feb 1, 2009 |
| Offense: | Medicaid Fraud - False Claim |
| Mcl: | 400.6071 |
| Maximum sentence: | 5 years 0 months |
| Court file number: | 09009128-FH |
| County: | Shiawassee |
| Conviction type: | Plea |