| Date of birth: | 1955 |
| Unit description: | 101 N Ogden Rd; Peshtigo, WI 54157; (715)582-2150 |
| Unit: | 6 16 |
| Pin number: | 558599 |
| Photo date: | May 10, 2004 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00461105 |
| Booking location: | Polk County, WI |
| Statute: | UNKNOWN - IC U |
| County: | OUT-OF-STATE |