| Date of birth: | Jun 12, 1953 |
| Hair: | Black |
| Eyes: | Hazel |
| Sbi number: | 000759734C |
| Facility: | Paroled from FIELD |
| Admission date: | Jan 30, 2004 |
| Booking location: | Essex County, NJ |
| Discharge date: | Jan 30, 2004 |
| Offense date: | May 5, 2000 |
| Offense: | 1 count of : 24:21-22A*3 Penalties-fraud or deception |
| Maximum term: | 3 Years |
| County: | Essex |
| Commit number: | ESX011200029S |
| Discharge date: | Jan 30, 2004 |
| Offense date: | May 5, 2000 |
| Offense: | 1 count of : 2C:21-4 3B*3 Fraud:Health Care Claims/3 |
| Maximum term: | 3 Years |
| County: | Essex |
| Commit number: | ESX011200029S |
