| Date of birth: | May 30, 1975 |
| Supervising agent: | Stu Von Wald |
| Oid number: | 193782 |
| Inmate status: | Intensive Supervised Release |
| Facility: | ISR |
| Expiration date: | Mar 23, 2013 |
| Admit date: | Oct 15, 2002 |
| Release date: | Oct 10, 2011 |
| Booking location: | Rice County, MN |
| Offense modifier: | NOT/APPL |
| Offense description: | FE-FAILURE TO REGISTER AS PREDATORY OFFENDER |
| Minnesota statute s: | 243.166.5(a) |
| Court file number: | 66CR102547 |
| Conviction county: | RICE |