| Date of birth: | May 2, 1969 |
| Country: | USA |
| Complexion: | LIGHT |
| Facility: | GREENE |
| Booked at: | LUZERNE |
| Permanent location: | GREENE |
| Inmate number: | CP9596 |
| Current location: | GREENE |
| Committing county: | LUZERNE |
| Citizen: | USA |
| Jail name: | Pennsylvania Department of Corrections |
| Location: | 1920 Technology Pkwy, Mechanicsburg, PA 17050 |
| Booking location: | Luzerne County, PA |