| Date of birth: | 1956 |
| Unit description: | 260 Eastridge Drive; Suite II; Portage, WI 53901-1289; (608)742-4020 |
| Unit: | 8 10 |
| Pin number: | 123468 |
| Photo date: | May 14, 2010 |
| Inmate status: | REVOKED |
| Booking number: | 00073897 |
| Booking location: | Calumet County, WI |
| Statute: | 450.11(7)(A) M , 947.01 M |
| County: | PORTAGE |
| Convicted: | Mar 31, 2011 |
| Case number: | 10CF299 |
| Statute: | UNKNOWN - IC , UNKNOWN - IC , UNKNOWN - IC U |
| County: | OUT-OF-STATE |