| Date of birth: | 1970 |
| Hair: | Brown |
| Eyes: | Blue |
| Registration: | 41640 |
| Level: | Level 2 |
| Inmate number: | 1293597 |
| Status: | Released - Subject to Registration |
| Designation: | Sexual Offender |
| Department of corrections: | Not |
| Description: | Scar on chin () |
| Arresting agency: | Mesa Police Department |
| Booking location: | Maricopa County, AZ |
| Booking location: | Sumter County, FL |
| Description: | 13-1410 - Molestation of child |