| Date of birth: | Jan 25, 1959 |
| Hair: | Brown |
| Eyes: | Brown |
| Docket no: | 1221302 |
| Complexion: | FAR |
| Birth place: | CT |
| Arrest date: | Nov 19, 2006 |
| Arresting agency: | PINELLAS COUNTY SHERIFF |
| Booking location: | Pinellas County, FL |
| Description: | unknown rash on both arms and complete body |
| Booking type: | FELONY |
| Statute: | 893.13(7)(A)(9)/F |
| Offense description: | OBT/ATTMPT/OBT/CON SUB BY FRAUD-OXYCODONE |
| Obts: | 5202127357 |
| Court case: | CRC0625566CFANO |
| Charge number: | 1 |
| Bond assessed: | $2,500 |
| Bond amount: | $0 |
| Agency report number: | SO06326500 |
| Statute: | 893.13(7)(A)(8)/F |
| Offense description: | DOCTOR SHOPPING |
| Obts: | 5202127357 |
| Court case: | CRC0625567CFANO |
| Charge number: | 2 |
| Bond assessed: | $2,500 |
| Bond amount: | $0 |
| Agency report number: | SO06326500 |
