| Date of birth: | Aug 24, 1977 |
| Hair: | Brown |
| Eyes: | Blue |
| Arresting agency: | NCS |
| Arrest date: | May 4, 2011 |
| Booking number: | 20110000001160 |
| Booking location: | Nassau County, NY |
| Statute: | 948.06 |
| Description: | V.O.P SALE OF PRESCRIPTION DRUG |
| Counts: | 1 |
| Bond amount: | $0 |
| Statute: | 843.15 |
| Description: | F.T.A FALSE STATEMENT |
| Counts: | 1 |
| Bond amount: | $0 |
