| Date of birth: | 1964 |
| Hair: | Bald |
| Eyes: | Brown |
| Registration start date: | Mar 11, 2013 |
| Offense: | NJ016 - ENDANGER WELFARE / CHILD |
| Offender type: | Tier 1 |
| Offender status: | NON-COMPLIANT |
| Last updated date: | Mar 11, 2013 |
| Is victim minor: | Not Applicable |
| Booking location: | Philadelphia County, PA |